超声引导下经皮穿刺组织学活检在诊断脾脏病变中的应用  

Application of ultrasound-guided percutaneous biopsy in diagnosis of splenic lesions

作　　者：魏子敬 何慧洲 程芝梅 彭龙 周石 赵许亚 Wei Zijing;He Huizhou;Cheng Zhimei;Peng Long;Zhou Shi;Zhao Xuya(School of Medical Imaging,Guizhou Medical University;Department of Interventional Surgery,Affiliated Hospital of Guizhou Medical University;Department of Interventional Surgery,Affiliated Cancer Hospital of Guizhou Medical University,Guizhou Guiyang 550000,China)

机构地区：[1]贵州医科大学医学影像学院,贵州贵阳550000 [2]贵州医科大学附属医院介入科 [3]贵州医科大学附属肿瘤医院介入科

出　　处：《中华介入放射学电子杂志》2021年第4期400-402,共3页Chinese Journal of Interventional Radiology：electronic edition

摘　　要：目的探讨超声引导下经皮穿刺组织学活检术用于诊断脾脏病变中的可行性及安全性。方法回顾性分析2015年7月至2020年7月于我院进行超声引导经皮穿刺组织学活检术23例脾脏病变患者的临床资料。结果脾脏病变穿刺术技术成功率为100%,明确诊断17例(73.9%),病理描述性诊断6例(26.1%)。并发症有腹腔出血(8.7%,2/23)、穿刺部位疼痛(21.7%,5/23)、腹胀(4.3%,1/23)、发热(4.3%,1/23),无死亡病例。结论超声引导经皮组织学穿刺活检术用于穿刺脾脏病变具有较高的安全性和可行性。Objective To investigate the feasibility and safety of ultrasound-guided percutaneous biopsy in the diagnosis of splenic lesions.Methods The Clinical data of 23 patients with splenic lesions treated by ultrasound-guided percutaneous biopsy from July 2015 to July 2020 in our hospital was retrospectively analyzed.Results The success rate of the technique was 100%,17 cases(73.9%)were diagnosed definitively,6 cases(26.1%)were diagnosed pathologically.Complications included abdominal hemorrhage(8.7%,2/23),pain at the puncture site(21.7%,5/23),abdominal distension(4.3%,1/23),and fever(4.3%,1/23).No deaths were reported.Conclusions Ultrasound-guided percutaneous biopsy is safe and feasible for the puncture of splenic lesions.

关 键 词：脾脏 穿刺活检 并发症 安全性 

分 类 号：R551.1[医药卫生—血液循环系统疾病]