超声引导下自动穿刺活检在脾占位性病变诊断中的应用

Ultrasound guided automatic biopsy in diagnosis of splenic space-occupying lesions

摘要: 目的:探讨超声引导下自动穿刺活检(ultrasound guided aspiration biopsy,USGAB)技术在诊断脾占位性病变中的价值。方法:对22例脾占位患者均采用USGAB技术进行活检,并做病理检查。结果:20例穿刺1次,其余2次;平均穿刺(2.28±0.46)针;组织芯平均长度(14.7±1.3)mm。穿刺取材成功率为100%,病理学确诊率为100%,其中恶性肿瘤17例,良性病变5例。无严重并发症。结论:USGAB技术能够安全、准确、快速地为临床提供脾占位性病变病理学诊断,是安全、有效、可行的一种诊断方法。

Abstract: Objective:To evaluate ultrasound guided aspiration biopsy (USGAB) in diagnosis of splenic space-occupying lesion.Methods:Twenty-two patients with or combined with metastatic carcinoma of the spleen were detected by USGAB,and the tissues underwent pathologic examination.Results:Twenty cases were punctured once,and the rest twice.The average needle pass was (2.28±0.46) times,and the average length of the core organization was (14.7±1.3) mm.The puncture success rate was 100%,and the pathological diagnosis rate was 100%.Among the 22 cases,17 were malignant lesions and 5 benign lesions.No serious complications occurred.Conclusions:USGAB technology is safe,accurate and rapid in pathological diagnosis of splenic space-occupying lesion.It is an effective diagnostic method.