超声造影辅助肝脏穿刺活检在肝内多发占位性疾病诊断中的临床价值

发布时间：2018-03-14 21:20

本文选题：肝疾病　切入点：活组织检查　出处：《重庆医学》2015年16期 　论文类型：期刊论文

【摘要】：目的评估超声造影辅助肝脏穿刺活检在肝内多发占位性疾病诊断中的临床价值,并与常规超声进行对比。方法分析2010年1月至2013年12月在该院接受肝穿刺活检患者的临床资料,依据辅助影像学技术不同分为观察组45例(超声造影,76个病灶穿刺)和对照组51例(常规超声,98个病灶穿刺)。结果观察组穿刺次数小于或等于2次达到满意取材的比例显著高于对照组(77.63%vs.53.06%;χ2=11.190,P0.01)。观察组患者总穿刺活检确诊率显著高于对照组(93.42%vs.82.65%;χ2=4.494,P=0.034);观察组恶性病灶的穿刺确诊率显著高于对照组(94.12%vs.80.65%;χ2=4.412,P=0.036)。观察组患者小于或等于2cm恶性病灶确诊率显著高于对照组(97.22%vs.79.07%;χ2=5.840,P=0.016)。结论在肝内多发性占位疾病的诊断中,超声造影辅助肝脏穿刺活检较传统的超声检查具有更高的准确性,值得临床推广。
[Abstract]:Objective to evaluate the clinical value of contrast-assisted liver biopsy in the diagnosis of multiple space-occupying diseases in the liver, and to compare it with conventional ultrasound. Methods the clinical data of patients who received liver biopsy from January 2010 to December 2013 in our hospital were analyzed. According to different assistant imaging techniques, 45 cases were divided into observation group (ultrasound, 76 lesions puncture) and 51 control group (conventional ultrasound, 98 lesions puncture). Results the number of puncture in observation group was less than or equal to 2 times to obtain satisfactory material. The diagnostic rate of total puncture biopsy in the observation group was significantly higher than that in the control group (93.42vs.82.65; 蠂 2 + 4.494p 0.034); the diagnostic rate of the malignant lesion in the observation group was significantly higher than that in the control group (94.12vs.80.65); the diagnostic rate of the malignant lesion in the observation group was less than or equal to 2cm malignant lesions. The rate was significantly higher than that in the control group (97.22vs.79.07). Conclusion in the diagnosis of multiple space-occupying diseases in the liver, the rate is significantly higher than that in the control group (蠂 ~ 2 = 5.840). Contrast-enhanced liver biopsy is more accurate than traditional ultrasound and is worth popularizing.
【作者单位】：解放军第三二四医院体检中心;
【分类号】：R445.1;R575

【参考文献】