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CT引导下经皮穿刺腹膜活检对不明原因腹腔积液的诊断价值

李良山 杨丽 李扬 何闯 黄学全

局解手术学杂志2017,Vol.26Issue(3):201-203,3.
局解手术学杂志2017,Vol.26Issue(3):201-203,3.DOI:10.11659/jjssx.10E016035

CT引导下经皮穿刺腹膜活检对不明原因腹腔积液的诊断价值

Clinical value of CT-guided percutaneous biopsy of peritoneum in diagnosis of patients with unknown ascites

李良山 1杨丽 1李扬 2何闯 1黄学全1

作者信息

  • 1. 第三军大学西南医院放射科介入病房,重庆400038
  • 2. 解放军第452医院放射科,四川成都610011
  • 折叠

摘要

Abstract

Objective To investigate the diagnostic value of CT-guided percutaneous biopsy of peritoneum for unknown ascites.Methods The clinical data of 106 cases of unknown peritoneum in our hospital were collected retrospectively over the past five years (May 23,2011 to August 2,2016).The sensitivity and specificity of the percutaneous biopsy of peritoneum in diagnosis of the patients with unknown etiological ascites were evaluated.Complications were collected to evaluate the safety.Results The 106 patients with unknown ascites were performed with CT-guided percutaneous biopsy of peritoneum.The diagnoses of 91 patients were confirmed pathologically,accounted for 85.85% of the total.Among the 91 patients,there were 60 cases (56.60%) of malignant and 31 cases (29.25%) of benign.The other 15 patients had no clinical diagnosis,which accounted for 14.15% of the total.The diagnostic sensitivity and specificity was 88.35% and 100% respectively,which were significantly superior to cytological examination,biochemical markers and other routine analysis.No severe complications were observed in all patients.Conclusion CT-guided percutaneous biopsy of peritoneum for unknown ascites plays an important instructive role in diagnosis with high accuracy,and it is a safe and effective method.

关键词

腹腔积液/CT引导/腹膜活检/经皮穿刺

Key words

ascites/CT-guided/biopsy of peritoneum/percutaneous puncture

分类

医药卫生

引用本文复制引用

李良山,杨丽,李扬,何闯,黄学全..CT引导下经皮穿刺腹膜活检对不明原因腹腔积液的诊断价值[J].局解手术学杂志,2017,26(3):201-203,3.

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