超声引导粗针切割活检在睾丸病变中的应用价值  

Value of Ultrasound-guided Core Needle Biopsy in Diagnosing the Testicular Lesions

作　　者：钱同刚 窦健萍 席俊青 韩治宇[1] Qian Tonggang;Dou Jianping;Xi Junqing;Han Zhiyu(Department of Interventional Ultrasonics,First Medical Center,General Hospital of Chinese PLA,Beijing 100853,China)

机构地区：[1]解放军总医院第一医学中心介入超声科,北京市100853 [2]河北省遵化市人民医院超声诊断科

出　　处：《中国超声医学杂志》2020年第8期732-734,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：目的旨在评价超声引导下粗针切割穿刺活检在睾丸病变诊断中的应用价值。方法睾丸病变患者156例(5例双侧)超声引导18G粗针切割穿刺活检病理结果回顾性分析。结果161只睾丸共完成438次穿刺,明确病理诊断率87.0%。未见明确睾丸或病变组织及其他原因未明确诊断占13.0%,其中61.9%(13/21)未见睾丸或病变组织,9.5%(2/21)为少许附睾组织,28.6%(6/21)为凝固性坏死、玻璃样变、角化或结缔组织。13例穿刺未见明确睾丸或病变组织者中2例标本含液量较高,其余取材标本均较碎。所有接受穿刺患者除均有不同程度的疼痛外未见严重并发症。结论超声引导下粗针切割穿刺活检睾丸病变是安全、有效的微创检查方法。Objective The aim of this study was to evaluate the value of ultrasound-guided core needle biopsy in diagnosing the testicular lesions.Methods The pathological results of ultrasound-guided 18 G core needle biopsy in 156 patients(5 bilateral)with testicular diseases were analyzed retrospectively.Results In 161 testes,438 punctures were completed,with a definite pathological diagnosis rate of 87.0%.The other 13.0%had no definite diagnosis of testis or pathological tissue and other reasons,of which 61.9%(13/21)had no testis or pathological tissue,9.5%(2/21)had little epididymis tissue,28.6%(6/21)had coagulative necrosis,hyaline degeneration,keratosis or connective tissue.From the sampling of biopsy,the samples of 2 were hyper-liquid in 13 of no testicular or lesion tissue,and the others samples were fragmentary.There were no serious complications expect for a different level of pain.Conclusions The ultrasound-guided core needle biopsy is a safe,efficient and minimally invasive technique.

关 键 词：超声 活检 睾丸病变 

分 类 号：R445.1[医药卫生—影像医学与核医学] R697.22[医药卫生—诊断学]