CT引导下经胃肠间隙穿刺活检胰腺病变  

CT-guided needle puncture biopsy of pancreatic lesions through gastrointestinal space

作　　者：张日光[1] 刘春琳[1] 罗文苹[1] 柳晨[2] 庞清清 赵剑波[3] 王国栋[1] ZHANG Riguang;LIU Chunlin;LUO Wenping;LIU Chen;PANG Qingqing;ZHAO Jianbo;WANG Guodong(Department of Oncology,the Fourth Affiliated Hospital of Guangxi Medical University,Liuzhou Worker’s Hospital,Liuzhou 545005,China;Department of Interventional Therapy,Peking University Cancer Hospital,Beijing 100142,China;Department of Radiation Intervention and Vascular Surgery,Nanfang Hospital,Southern Medical University,Guangzhou 510515,China)

机构地区：[1]广西医科大学第四附属医院柳州市工人医院肿瘤科,广西柳州545005 [2]北京大学肿瘤医院介入治疗科,北京100142 [3]南方医科大学附属南方医院放射介入与血管外科,广东广州510515

出　　处：《中国介入影像与治疗学》2024年第5期285-288,共4页Chinese Journal of Interventional Imaging and Therapy

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(Z20200544)。

摘　　要：目的观察CT引导下经胃肠间隙穿刺活检胰腺病变的安全性及有效性。方法回顾性分析96例接受CT引导下经胃肠间隙穿刺活检的单发胰腺病变患者,记录穿刺成功率;以手术病理及随访结果为标准,评估穿刺活检病理诊断的有效性,观察其相关并发症。结果对96例均顺利完成穿刺活检,穿刺成功率100%(96/96)。活检病理诊断的敏感度为97.75%(87/89),特异度为100%(7/7),阳性预测值为100%(87/87),阴性预测值为77.78%(7/9),准确率为97.92%(94/96)。6例出现并发症,包括3例局限性胰周少量积液、1例少量腹腔积液及2例间歇性发热,后均改善;未见其他并发症。结论CT引导下活检针经胃肠间隙穿刺活检胰腺病变安全、有效。Objective To evaluate the safety and efficacy of CT-guided needle puncture biopsy of pancreatic lesions through gastrointestinal space.Methods Data of 96 patients with single pancreatic lesion who underwent CT-guided needle puncture biopsy through gastrointestinal space were retrospectively analyzed,and the success rate of puncture biopsy was recorded.The diagnostic efficacy of biopsy pathology was evaluated based on surgical pathology and follow-up results,and the relative complications were observed.Results Puncture biopsy was successfully completed in all 96 cases(96/96,100%).The sensitivity of biopsy pathology diagnosis was 97.75%(87/89),with specificity of 100%(7/7),positive predictive value of 100%(87/87),negative predictive value of 77.78%(7/9)and accuracy of 97.92%(94/96).Complications were noticed in 6 cases,including small amount of peripancreatic effusion in 3 cases,small amount of abdominal effusion in 1 case and intermittent fever in 2 cases,which were all improved.No other complication occurred.Conclusion CT-guided needle puncture biopsy of pancreatic lesions through gastrointestinal space was safe and effective.

关 键 词：胰腺肿瘤 穿刺术 体层摄影术 X线计算机 

分 类 号：R735.9[医药卫生—肿瘤] R815[医药卫生—临床医学]