经腹超声引导下经皮穿刺活检对内镜超声引导下穿刺活检诊断胰腺肿瘤的补充价值  

Supplementary value of abdominal ultrasound-guided percutaneousbiopsy for endoscopic ultrasound-guided biopsy indiagnosing pancreatic tumors

作　　者：桂阳[1] 吕珂[1] 谭莉[1] 张璟 陈雪琪 戴梦华[2] 王维斌 李建初[1] 姜玉新[1] GUI Yang;LYU Ke;TAN Li;ZHANG Jing;CHEN Xueqi;DAI Menghua;WANG Weibin;LI Jianchu;JIANG Yuxin(Department of Ultrasound Medicine,Peking Union Medical College Hospital,Chinese Academy of Medical Science,Peking Union Medical College,Beijing 100730,China;Department of General Surgery,Peking Union Medical College Hospital,Chinese Academy of Medical Science,Peking Union Medical College,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医学院、北京协和医院超声医学科,北京100730 [2]中国医学科学院北京协和医学院、北京协和医院基本外科,北京100730

出　　处：《中国医学影像技术》2024年第4期485-488,共4页Chinese Journal of Medical Imaging Technology

基　　金：北京协和医院中央高水平医院临床科研专项(2022-PUMCH-D-001);国家自然科学基金(82171968)。

摘　　要：目的 观察经腹超声引导下经皮穿刺活检对内镜超声(EUS)引导下穿刺活检诊断胰腺肿瘤的补充价值。方法 回顾性分析30例因EUS引导下穿刺活检诊断结果不满意(未见肿瘤细胞20例、可见异常细胞但无法明确诊断10例)而接受经腹超声引导下经皮穿刺活检的胰腺肿瘤患者,评价后者的补充诊断价值。结果 20例EUS引导下穿刺活检未见肿瘤细胞患者中,经腹超声引导下穿刺活检明确诊断11例肿瘤及其病理类型,7例可见异常细胞但未能明确诊断,2例仍未见肿瘤细胞;10例EUS引导下穿刺结果无法明确诊断患者中,经腹超声引导下穿刺活检明确诊断9例肿瘤及其病理类型,1例为非典型细胞。结论 经腹超声引导下经皮穿刺活检对EUS引导下穿刺活检诊断胰腺肿瘤具有较高补充价值。Objective To observe the supplementary value of abdominal ultrasound-guided percutaneous biopsy for endoscopic ultrasound(EUS)-guided biopsy in diagnosing pancreatic tumors.Methods Data of 30 patients with pancreatic tumor who underwent abdominal ultrasound-guided percutaneous biopsy due to unsatisfactory diagnostic results of EUS-guided biopsy(tumor cells could not be seen in 20 cases,abnormal cells were visible but unable to be diagnosed in 10 cases)were retrospectively analyzed.The supplementary value of abdominal ultrasound guided-percutaneous biopsy was analyzed.Results Among 20 cases EUS-guided biopsy did not find tumor cells,abdominal ultrasound-guided biopsy clearly diagnosed pathological type of pancreatic tumor in 11 cases,found abnormal cells but could not diagnosed in 7 cases,but failed to detect tumor cells in 2 cases.Among 10 cases EUS-guided biopsy showed abnormal cells but could not diagnose,abdominal ultrasound-guided biopsy clearly diagnosed pathological type of pancreatic tumor in 9 cases,but atypical cells could be seen in 1 case.Conclusion Abdominal ultrasound-guided percutaneous biopsy had high supplementary value for EUS-guided biopsy of pancreatic tumors.

关 键 词：胰腺肿瘤 活组织检查 超声检查 

分 类 号：R735.9[医药卫生—肿瘤] R445.1[医药卫生—临床医学]