超声造影提高纵隔巨大肿瘤穿刺活检准确率的应用价值  

Application value of contrast-enhanced ultrasound to improve the diagnostic accuracy rate of biopsy in large mediastinal masses

作　　者：江虹虹 郭顺华 晋金兰 黄智慧 林庆光[4] JIANG Honghong;GUO Shunhua;JIN Jinlan;HUANG Zhihui;LIN Qingguang(Department of Ultrasound,Guangzhou Red Cross Hospital Affiliated of Medical College of Jinan University Faculty of Medical Science,Guangzhou,510220,China.)

机构地区：[1]广东省广州市红十字会医院暨南大学医学院附属广州红十字会医院超声科,广东广州510220 [2]广东省广州市红十字会医院暨南大学医学院附属广州红十字会医院ICU,广东广州510220 [3]广东省广州市红十字会医院暨南大学医学院附属广州红十字会医院核医学科,广东广州510220 [4]华南肿瘤学国家重点实验室肿瘤医学协同创新中心中山大学肿瘤防治中心中山大学附属肿瘤医院超声心电科,广东广州510060

出　　处：《中国中西医结合影像学杂志》2018年第4期388-390,共3页Chinese Imaging Journal of Integrated Traditional and Western Medicine

基　　金：广州市医药卫生科技项目(20161A011018)

摘　　要：目的 :探讨超声造影(CEUS)在提高纵隔巨大肿瘤穿刺活检准确率中的应用价值。方法 :25例临床确诊为纵隔巨大肿瘤,均常规超声引导穿刺未取得有效病理组织,故行CEUS引导下再次穿刺取材。结果:CEUS引导下纵隔巨大肿瘤穿刺病理成功率为72%(18/25),明显高于常规超声。结论:CEUS引导下经皮穿刺活检安全、有效,可明显提高纵隔巨大肿瘤穿刺活检取材的准确性,是纵隔巨大肿瘤穿刺活检的首选方法。Objective：To evaluate the role of contrast enhanced ultrasound（CEUS） in the clinical application of percutaneous biopsy in large mediastinal masses. Methods：A total of 25 patients with large mediastinal masses who intended to undergo CEUS-guided percutaneous biopsy were collected. All patients had underwent ultrasound-guided biopsy before,but it did not provide sufficient pathological material for diagnostic evaluation. Percutaneous biopsy was performed intern or after CEUS examinations. Results ：The diagnostic accuracy rate of CEUS-guided percutaneous biopsy was 72%（18/25）,which was significantly higher than that of ultrasound-guided biopsy. Conclusions：CEUS-guided percutaneous biopsy is an easy and safe procedure that can provide a precise diagnosis in the majority of large mediastinal tumors. It can be the preferred method in the clinical application of percutaneous biopsy in large mediastinal masses.

关 键 词：纵隔肿瘤 超声检查 活组织检查 

分 类 号：R445.1[医药卫生—影像医学与核医学] R734.5[医药卫生—诊断学]