CT引导切割针刺活检术对儿童实体肿瘤的诊断价值探讨  

CT-guided cutting needle biopsy of solid tumors in children

作　　者：徐敏[1] 陈其民[1] 洪莉[1] 施诚仁[1] 

机构地区：[1]上海第二医科大学附属新华医院儿童医学中心,200127

出　　处：《中国实用儿科杂志》2003年第2期94-95,共2页Chinese Journal of Practical Pediatrics

摘　　要：目的　评价切割针刺活检术在儿童实体肿瘤诊治中应用的准确性和安全性。方法　 2 0 0 1年 1月至2 0 0 2年 1月共 10例肿瘤患儿在CT引导下进行针刺切割活检术 ,其中恶性肿瘤 8例包括神经母细胞瘤 4例、淋巴瘤 3例、生殖细胞瘤 1例 ,良性肿瘤 2例包括神经纤维瘤 1例、节神经细胞瘤 1例。结果　术后主诉疼痛 2例(2 / 10 ) ;无血气胸、出血发生。除 3例正在化疗外 ,其余 7例得到术后病理证实 ,准确率 10 0 %。结论　CT引导下切割针刺活检术是一种简便、安全、准确的病理诊断方法。Objective To evaluate the diagnostic accuracy and safety of cutting needle biopsy for diagnosis in children with solid tumors.Methods Medical records and biopsy slides recorded from 2000.1～2002.1 were reviewed. 10 patients had undergone cutting needle biopsy .The biopsy was performed under CT guidance using a 18- Gauge biopsy -cut needle.The diagnoses were malignant tumors (n=8) and benign ones(n=2).Results The diagnostic accuracy of cutting needle biopsy was 100%.No patient exhibited tumor growth along the needle tract,bleeding and pneumothorax.Biopsy related pain at the biopsy site occurred in 20% (n=2).Conclusion Cutting needle biopsy is an accurate and safe procedure in diagnosing children with solid tumors.

关 键 词：CT引导切割针刺活检术 儿童 实体肿瘤 诊断 病理 

分 类 号：R730.4[医药卫生—肿瘤]