Govindarajan Padmapriya, Keshava Shyamkumar N
Department of Radiology, Christian Medical College, Vellore, Tamil Nadu - 632 004, India.
Indian J Radiol Imaging. 2010 Nov;20(4):307-9. doi: 10.4103/0971-3026.73533.
Omental biopsy has conventionally been performed using a surgical approach. USG-guided omental biopsy is a safe and effective alternative. The purpose of this study was to assess the utility of USG guidance for biopsy of the greater omentum.
Retrospective study.
We retrospectively reviewed all omental biopsies performed under USG guidance from April 2006 to March 2010 in a tertiary care hospital.
One hundred and seventy-three patients were included. Out of these, 82 (47%) patients were diagnosed to have malignancies, 58 (34%) patients had granulomatous inflammation either suggestive of or consistent with tuberculosis, 29 (17%) patients were diagnosed to have inconclusive biopsy results, and 4 (2%) patients had an inadequate sample for histopathological examination. There were no major procedure-related complications.
USG-guided biopsy of the omentum is a safe and effective procedure. A thickened omentum can serve as an easily accessible site for biopsy, especially in patients who have ascites of unknown etiology and in those with a history of previous malignancy.
传统上大网膜活检采用手术方法。超声引导下大网膜活检是一种安全有效的替代方法。本研究的目的是评估超声引导在大网膜活检中的应用价值。
回顾性研究。
我们回顾性分析了2006年4月至2010年3月在一家三级医院接受超声引导下大网膜活检的所有患者。
共纳入173例患者。其中，82例（47%）患者被诊断为恶性肿瘤，58例（34%）患者有提示或符合结核病的肉芽肿性炎症，29例（17%）患者活检结果不明确，4例（2%）患者组织病理学检查样本不足。未发生与操作相关的重大并发症。
超声引导下大网膜活检是一种安全有效的方法。增厚的大网膜可作为易于取材的活检部位，尤其是对于病因不明的腹水患者和既往有恶性肿瘤病史的患者。
