超声引导经皮穿刺活检术在心脏肿瘤诊断中的应用  

Application of ultrasound-guided percutaneous biopsy in the diagnosis of cardiac tumors

作　　者：赵艳春[1] 陈圣[1] 林宁[1] 吕国荣 赖宝春[1] 吴松松[1] 林宇澄 Zhao Yanchun;Chen Sheng;Lin Ning;Lyu Guorong;Lai Baochun;Wu Songsong;Lin Yucheng(Department of Ultrasound,Provincial Clinical Academy of Fujian Medical University,Fujian Provincial Hospital,Fuzhou 350001,China;Maternal and Child Health Service Application Technology Collaborative Innovation Center,Quanzhou 362000,China;Department of Ultrasound,Fuzhou First Hospital Affiliated to Fujian Medical University,Fuzhou 350009,China)

机构地区：[1]福建医科大学省立临床医学院,福建省立医院超声科,福州350001 [2]泉州医学高等专科学校母婴健康服务应用技术协同创新中心,362000 [3]福建医科大学附属福州市第一医院超声影像科,350009

出　　处：《中华超声影像学杂志》2020年第11期941-945,共5页Chinese Journal of Ultrasonography

基　　金：2018年福建省卫生计生委中青年骨干人才培养项目(2018-ZQN-12)。

摘　　要：目的探讨超声引导经皮粗针穿刺活检术在心脏壁间肿瘤及心包肿瘤诊断中的安全性及临床价值。方法选取2012年1月至2019年12月在福建省立医院经皮超声引导下心脏肿瘤穿刺活检的7例患者,术前记录病灶部位、大小等,记录穿刺用时。术后随访并发症并以病理取材满意度作为评价标准,综合分析超声引导经皮穿刺活检术诊断心脏肿瘤的安全性及临床应用价值。结果7例患者均成功施行超声引导经皮穿刺活检术,其中3例为壁间肿瘤,4例为心包肿瘤。除2例弥漫性心包占位外,余5例最大径为(58.6±23.5)mm。6例选择心尖部为穿刺点,1例经左侧第三肋间隙胸骨旁向心底方向为进针路径。病理取材满意度100%,用时(15.1±3.3)min。术后无大出血、感染、心律失常等并发症。结论经皮经胸超声引导穿刺活检术安全可行,为心脏壁间肿瘤及心包肿瘤活检提供了一种简便易行的方法。Objective To explore the safety and clinical value of ultrasound-guided percutaneous core needle biopsy in the diagnosis of cardiac intermural tumors and pericardial tumors.Methods Seven patients who underwent ultrasound-guided percutaneous cardiac tumors needle biopsy in Fujian Provincial Hospital from January 2012 to December 2019 were selected for this study. The locations and sizes of the lesions were recorded preoperatively by echocardiography and the operation time was recorded by conventional ultrasonography. The postoperative complications was followed up, and the satisfaction of pathological materials was used as the evaluation standard to comprehensively analyze the safety and clinical application value of ultrasound-guided percutaneous biopsy in the diagnosis of cardiac tumors.Results Ultrasound-guided percutaneous biopsy was performed successfully in all the 7 cases, 3 of them were intermural tumors and 4 of them were pericardial tumors. Except for 2 patients with diffuse pericardial space, the maximum diameter of the remaining 5 patients was (58.6±23.5)mm. Six cases were punctured from the apex of the heart, and 1 case from the left parasternal through third intercostal space toward the bottom of the heart as the needle pathway. The satisfaction of pathological material was 100%, and the time of procedure was (15.1±3.3)min. There were no postoperative complications such as bleeding, infection or arrhythmia.Conclusions Ultrasound-guided percutaneous transthoracic needle biopsy is safe and feasible, which provides a simple and easy method for the biopsy of cardiac intramural tumors and pericardial tumors.

关 键 词：超声检查 心脏肿瘤 经皮超声引导 穿刺 

分 类 号：R445.1[医药卫生—影像医学与核医学] R732.1[医药卫生—诊断学]