中国医疗设备Issue(2)：164-167,4.DOI:10.3969/j.issn.1674-1633.2014.02.060
常规超声及超声造影在肝脏占位性病变穿刺活检中的应用价值
Effectiveness of Conventional US versus CEUS in Biopsies of Hepatic Space-Occupying Lesions
摘要
Abstract
Objective To assess the effectiveness of conventional US (Ultrasound) versus CEUS (Contrast-Enhanced Ultrasound) in biopsies of hepatic space-occupying lesions. Methods Among 62 patients who had undergone biopsies of hepatic space-occupying lesions from January, 2010 to March, 2010, US-guided biopsies were performed in 55 cases (the US group) versus the CEUS-guided biopsies in 7 cases (the CEUS group). The up-to-standard tissues taken from patients for biopsies should be able to be well identiifed for pathological diagnosis. Having been followed up for at least 6-month, all the patients were clinically diagnosed according to their post-operative pathological diagnosis or follow-up imaging examination results, and were observed for any associated complications. Results There were a total of 64 lesions involved in this study as the puncture sites with the 100%puncture success rate. Of the US group, 55 lesions were pathologically diagnosed with the 96.5%(55/57) qualitative diagnosis rate and the 100%(55/55) qualitative diagnosis coincidence rate;5 patients suffered from transient intraoperative pain and 1 patient was suspected to have slight bleeding in the needle tract, all of which were freed from such symptoms after symptomatic treatment. Of the CEUS group, 7 lesions were diagnosed pathologically with the 100%(7/7) qualitative diagnosis rate and the 100%(7/7) qualitative diagnosis coincidence rate. Conclusion The conventional US-guided biopsy demonstrated great rates of success in biopsies performed in patients with hepatic space-occupying lesions and its excellent ability to give accurate pathological diagnosis of above-mentioned lesions, and was highly recommended as the ifrst alternative for acquisition of pathological diagnosis. The CEUS-guided biopsy was helpful to identify the activity or liquefactive necroses of the lesions and distinguish small lesions that cannot be revealed by conventional US. In comparison with conventional US, CEUS allowed for more accurate positioning of the lesions, thereby improving the positive detection rates of puncture points and providing clinical guidance.关键词
超声检查/造影剂/肝肿瘤/活组织检查/针吸/穿刺活检Key words
ultrasonography/contrast agent/liver tumors/biopsy/needle suction/punch biopsy分类
医药卫生引用本文复制引用
战勇,于晓玲,梁萍,刘方义,程志刚,韩治宇,房立柱..常规超声及超声造影在肝脏占位性病变穿刺活检中的应用价值[J].中国医疗设备,2014,(2):164-167,4.基金项目
国家自然科学基金项目（81171358）。 （）
