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[1]吳周貴 唐麗娜 沈友洪 杜忠實(shí) 陳軼潔 黃偉欽.經(jīng)腹超聲引導(dǎo)下胰腺腫物穿刺活檢診斷的價(jià)值(附82例分析)[J].福建醫(yī)藥雜志,2018,40(06):4-5.
　WU Zhougui,TANG Lina,SHEN Youhong,et al.Evaluation of transabdominal ultrasound-guided biopsy in pancreatic lesions:analysis of 82 cases[J].FUJIAN MEDICAL JOURNAL,2018,40(06):4-5.
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經(jīng)腹超聲引導(dǎo)下胰腺腫物穿刺活檢診斷的價(jià)值(附82例分析)()
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《福建醫(yī)藥雜志》[ISSN:1002-2600/CN:35-1071/R]

卷:
40
期數(shù):
2018年06期
頁碼:
4-5
欄目:
臨床研究
出版日期:
2018-11-29

文章信息/Info

Title:
Evaluation of transabdominal ultrasound-guided biopsy in pancreatic lesions:analysis of 82 cases
文章編號:
1002-2600(2018)06-0004-03
作者:
吳周貴 唐麗娜1 沈友洪 杜忠實(shí) 陳軼潔 黃偉欽
福建省腫瘤醫(yī)院(福州 350014)
Author(s):
WU Zhougui; TANG Lina; SHEN Youhong; DU Zhongshi; CHEN Yijie; HUANG Weiqin.
Fujian Provincial Tumor Hospital,Fuzhou, Fujian 350014,China
關(guān)鍵詞:
經(jīng)腹超聲引導(dǎo);  穿刺;  組織活檢;  胰腺腫物
Keywords:
transabdominal ultrasound-guided;  puncture;  tissue biopsy;  pancreatic lesion
分類號:
735.9
文獻(xiàn)標(biāo)志碼:
B
摘要:
目的 探討經(jīng)腹超聲引導(dǎo)下胰腺腫物穿刺活檢的診斷應(yīng)用價(jià)值。方法 回顧分析2013年1月至2017年12月82例患者經(jīng)腹超聲引導(dǎo)下胰腺腫物穿刺活檢情況,以病理結(jié)果為金標(biāo)準(zhǔn),比較粗針穿刺(CNB)、細(xì)針穿刺(FNB)、多針穿刺和單針穿刺的準(zhǔn)確率。結(jié)果 82例經(jīng)腹超聲引導(dǎo)下胰腺腫物穿刺的總準(zhǔn)確率為86.59%,其中,FNB和CNB的準(zhǔn)確率分別為75.0%、90.3%,單針穿刺和多針穿刺準(zhǔn)確率分別為83.08%、100.0%。所有患者未出現(xiàn)嚴(yán)重并發(fā)癥。結(jié)論 經(jīng)腹超聲引導(dǎo)下胰腺腫物穿刺微創(chuàng)、安全,且準(zhǔn)確率高; 使用CNB和多針穿刺的準(zhǔn)確率較使用FNA和單針穿刺的準(zhǔn)確率高,值得臨床推廣應(yīng)用。
Abstract:
Objective To investigate the diagnostic value of transabdominal ultrasound-guided biopsy in pancreatic lesions.Methods The clinical date of 82 patients received transabdominal ultrasound-guided biopsy in pancreatic lesions fron January 2013 to December 2017 was retrospectively analyzed.Final diagnosis was based on pathologic evidence or follow-up.The accuracy were evaluated between coarse needle biopsy(CNB)and fine needle biopsy(FNB),between single needle biopsy and multineedle biopsy. Results The total accuracy of 82 patients by transabdominal ultrasound-guided biopsy in pancreatic lesions was 86.59%(71/82)and no serious complication occured.The accuracy of FNB、 CNB、 single needle biopsy and multineedl biopsy were 75.0%(15/20),90.3%(56/62),83.08%(54/65),100.0%(17/17)respectively.Conclusion The transabdominal ultrasound-guided biopsy is a minimal invasive and safe with high accuracy method in pancreatic lesions.The CNB and multineedle biopsy have a greater clinical value in the diagnoses of pancreatic lesions and can be widely used in clinical practice.

參考文獻(xiàn)/References:

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備注/Memo

備注/Memo:
基金項(xiàng)目:福建省衛(wèi)生計(jì)生面向農(nóng)村和城市社區(qū)推廣適宜技術(shù)項(xiàng)目(2017Y0021)
更新日期/Last Update: 2018-11-29