超声介入活检术在3cm以下肝占位的成功率及其影响因素  

Success rate and its influencing factors of ultrasound-guided percutaneous biopsy of liver occupying lesions less than 3cm

作　　者：冯庆艺[1] 叶富永[1] Feng Qingyi;Ye Fuyong(Department of Ultrasound,Gaozhou People’s Hospital,Gaozhou,Guangdong 525200,China)

机构地区：[1]高州市人民医院超声科

出　　处：《影像研究与医学应用》2019年第21期35-37,共3页Journal of Imaging Research and Medical Applications

摘　　要：目的:分析超声介入活检术在小于3cm的肝脏占位病变中的成功率及其影响因素。方法:回顾分析83例肝脏占位小于3cm的患者,分析其超声穿刺活检的成功率和病理结果。结果:83例患者中74例得到明确的病理诊断,穿刺成功率约89.2%(74/83);穿刺路径≤5cm的成功率高于穿刺路径>5cm,差异有统计学意义(P<0.05);病灶2.1~3cm的穿刺成功率高于病灶径≤2cm,差异有统计学意义(P<0.05);其余因素性别、年龄、进针角度、进针次数均无显著差异(P>0.05)。结论:肝脏病灶的大小和深度是影响超声引导下穿刺活检成功率的重要因素,穿刺过程中需严格掌握进针角度和深度。Objective To analyze the success rate and the influencing factors of Ultrasound-guided Percutaneous Biopsy of Liver Occupying Lesions below 3cm.Methods Retrospective analysis of 83 patients with liver occupying less than 3cm.The success rate and pathological results were analyzed.Results 74 of 83 patients were diagnosed pathologically.and the success rate of percutaneous biopsy was about 89.2%(74≤83).The success rate of puncture path≤85cm was higher than that of puncture path>5cm,with the difference was statistically significant(P<0.05).The success rate of biopsies of lesion diameter 2.1~3 cm was higher than that≤2cm,with the difference was statistically significant(P<0.05).There was no significant difference in sex,age,angle and frequency(P>0.05).Conclusion The diameter and depth of the liver lesions were important factors that influence the success rate of the biopsy under the ultrasound guidance.The angle and depth should be strictly grasped in the process of biopsy.

关 键 词：小于3cm 肝脏占位 超声介入 成功率 

分 类 号：R445[医药卫生—影像医学与核医学]