常规超声联合超声引导下穿刺活检在小儿腹部肿物诊断中的应用研究  

Application of conventional ultrasound combined with ultrasound-guided needle biopsy in the diagnosis of abdominal mass in children

作　　者：陈玮吉[1] 杨建川[1] 林剑韬 龚国贤 CHENWeiji;YANG Jianchuan;LIN Jiantao;GONG Guoxian(Department of Ultrasound,Fujian Provincial Hospital,Fuzhou,Fujian,350000,China)

机构地区：[1]福建省立医院超声科,福建福州350000

出　　处：《当代医学》2022年第30期116-119,共4页Contemporary Medicine

摘　　要：目的探讨常规超声联合超声引导下穿刺活检在小儿腹部肿物诊断中的应用价值。方法选取2016至2020年本院收治的164例腹部肿物患儿作为研究对象,对患儿行常规超声检查、超声引导下穿刺活检,以手术病理诊断结果为金标准,分析常规超声检查诊断结果、穿刺活检病理结果、手术切除病理结果、阳性相符度及假阴性率。结果常规超声检查中神经母细胞瘤患者最高占比为34.75%,平均肿块直径最大为(15.34±2.06)cm;164例患儿中有154例患儿取材成功,成功率为93.90%,10例患儿取材失败,失败率为6.10%;手术病理诊断中良性手术病理占比32.32%,主要为节细胞神经瘤27例(16.46%),恶性手术病理诊断结果占比67.68%,主要为神经母细胞瘤44例(26.82%);常规超声检查阳性为121例(73.78%),假阴性43例(26.21%);超声引导下的穿刺活检阳性为154例(93.90%),假阴性10例(6.10%),差异有统计学意义(P<0.05)。结论在小儿腹部肿物诊断中,常规超声检查具有一定诊断价值,超声引导下穿刺活检病理诊断结果与手术大体标本最终病理诊断相符度高,小儿腹部肿物在常规超声无法诊断时,联合超声引导下穿刺活检是一种术前快速、精准的诊断方法。Objective To investigate the application value of conventional ultrasound combined with ultrasound-guided needle biopsy in the diagnosis lected as research subjects,and routine ultrasound examination and ultrasound-guided needle biopsy were performed,and the final surgical pathological diagnosis results were regarded as the gold standard,and the diagnostic results of routine ultrasonography,aspiration biopsy,surgical resection,positive match,and false negative rate were analyzed.Results The highest proportion of neuroblastoma patients in routine ultrasound examination was 34.75%,and the average mass diameter was(15.34±2.06)cm;among the 164 children,154 children were successful in extracting materials,with a success rate of 93.90%,and 10 children were unable to take materials,with a failure rate of 6.10%;among the surgical pathological diagnosis,benign surgical pathology accounted for 32.32%,mainly 27 cases(16.46%)of ganglion neuroma,67.68%of malignant surgical pathological diagnosis,mainly 44 cases(26.82%)of neuroblastoma;there were 121 cases(73.78%)of routine ultrasound examinations and 43 cases(26.21%)of false negatives.Ultrasound-guided needle biopsy was positive in 154 cases(93.90%)and false negative in 10 cases(6.10%),and the difference was statistically significant(P<0.05).Conclusion In the diagnosis of abdominal mass in children,conventional ultrasound examination has certain diagnostic value,and the pathological diagnosis results of ultrasound-guided needle biopsy are highly consistent with the final pathological diagnosis of surgical specimens.

关 键 词：小儿腹部肿块 常规超声 超声引导下穿刺活检 

分 类 号：R445.1[医药卫生—影像医学与核医学] R72[医药卫生—诊断学]