经腹超声引导穿刺活检对胃肠道病变的诊断价值  

The diagnostic efficiency of ultrasound-guided biopsy of gastrointestinal lesions

作　　者：梁美娟 陈白莉[3] 陈瑜君[2] 毛仁 谢晓华[2] 谢晓燕[2] Liang Meijuan;Chen Baili;Chen Yujun;Mao Ren;Xie Xiaohua;Xie Xiaoyan(Graduate School of Guangzhou Medical University,Guangzhou 510182,China;Department of Medical Ultrasonics,the First Affiliated Hospital of Sun Yat-sen University,Guangzhou 510080,China;Department of Gastroenterology,the First Affiliated Hospital of Sun Yat-sen University,Guangzhou 510080,China)

机构地区：[1]广州医科大学研究生学院,510182 [2]中山大学附属第一医院超声科,广州510080 [3]中山大学附属第一医院消化内科,广州510080

出　　处：《中国医师杂志》2019年第8期1125-1128,共4页Journal of Chinese Physician

基　　金：国家自然科学基金(81601514)~~

摘　　要：目的探讨经腹超声引导胃肠道穿刺活检的诊断价值和临床应用价值。方法回顾性分析2006年1月至2018年4月经腹超声引导对胃肠道病变穿刺活检的病例,评估其取材成功率、安全性等,并和内镜下活检进行比较。结果⑴入组41例,其中检出38例,取材成功率92.7%;检出的38例中,恶性29例,良性9例。⑵同时经腹超声穿刺活检和经内镜下取材的病例有13例,经腹超声穿刺活检阳性结果11例,取材成功率84.6%,经内镜下取材阳性结果8例,取材成功率61.5%,差异无统计学意义(P=0.378)。⑶未发现与操作相关的并发症。结论经腹超声引导穿刺活检诊断胃肠道肿物是一种安全、有效的方法,可作为内镜活检诊断困难时的替代方案,有利于临床下一步决策。Objective To explore the diagnostic efficiency of ultrasound-guided biopsy in the diagnosis of gastrointestinal lesions.Methods The study retrospectively analyzed 41 cases who underwent ultrasound-guided biopsy and diagnosis were confirmed as gastrointestinal lesions either by surgery resections or by biopsies in our hospital from January 2006 to April 2018.The detection rate and the safety in the diagnosis of gastrointestinal lesions by ultrasound-guided biopsy were evaluated and they were compared with clinical efficiency of the endoscopic biopsy.Results ⑴ Of the 41 cases underwent ultrasound-guided biopsies,38 cases were confirmed by pathology.A 92.7% detection rate had achieved by ultrasound-guided biopsies.In the 38 cases,the diagnoses were grouped in benign and malignant,with 29 malignant and 9 benign.⑵ Among the 13 cases examined by both of the ultrasound-guided biopsy and endoscopic biopsy,the diagnostic accuracy of ultrasound-guided biopsy was 84.6% and 61.5% with endoscopy.No significant difference (P=0.378) between the two modalities.⑶ No complication occurred with both of methods.Conclusions Ultrasound-guided biopsy of gastrointestinal lesions is a safe and effective method.It would be an alternative solution to provide clinicians with reliable diagnosis,especially when endoscopic diagnosis is not inapplicable or failed.

关 键 词：超声检查 影像引导活检 胃肠道 

分 类 号：R445.1[医药卫生—影像医学与核医学] R57[医药卫生—诊断学]