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超声引导下细针穿刺细胞学检查:诊断腹腔内病变的一种敏感诊断工具。

Ultrasound guided fine needle aspiration cytology: a sensitive diagnostic tool for diagnosis of intra-abdominal lesions.

作者信息

Islam T, Hossain F, Rumpa A P, Sikder N H, Bhuiyan M A, Karim E, Hossain A

机构信息

Sylhet Shaheed Shamsuddin Ahmed Hospital, Dhaka.

出版信息

Bangladesh Med Res Counc Bull. 2013 Apr;39(1):14-7. doi: 10.3329/bmrcb.v39i1.15792.

DOI:10.3329/bmrcb.v39i1.15792
PMID:23923406
Abstract

Ultrasound guided fine needle aspiration cytology is widely accepted as a safe diagnostic procedure in various neoplastic and non-plastic disorders. This study was conducted to determine the usefulness and diagnostic accuracy of ultrasound guided fine needle aspiration cytology in the diagnosis of intraabdominal lesions. This cross sectional study was conducted in the Department of Radiology and Imaging, Sylhet MAG Osmani Medical College Hospital, Sylhet, Bangladesh during the period of June 2007 to June 2009. A total 78 patients with intra abdominal lesions were included in this study. Fifty nine (75.6%) were males and 19 (24.4%) were females. Out of total aspirates 29 (37.2%) were categorized as benign, 41 (52.6%) were malignant and 8 (10.3%) were non-representative, as it contained only blood. Most of the benign lesions were liver abscess 19 (24.4%). A diagnosis of primary malignancy was established in 26 (33.3%) and that of secondary in 15 (19.2%). The results showed a sensitivity of 89.7%. Ultrasound guided fine needle aspiration cytology is a sensitive diagnostic tool in a wide spectrum of intra-abdominal neoplastic and non-neoplastic disorders. It is a simple, safe, rapidand inexpensive technique.

摘要

超声引导下细针穿刺细胞学检查作为一种安全的诊断方法,在各种肿瘤性和非肿瘤性疾病中已被广泛接受。本研究旨在确定超声引导下细针穿刺细胞学检查在诊断腹腔内病变中的实用性和诊断准确性。这项横断面研究于2007年6月至2009年6月在孟加拉国锡尔赫特MAG奥斯曼尼医学院医院放射科和影像科进行。本研究共纳入78例腹腔内病变患者。其中男性59例(75.6%),女性19例(24.4%)。在所有抽吸物中,29例(37.2%)被归类为良性,41例(52.6%)为恶性,8例(10.3%)为非代表性,因为其中仅含有血液。大多数良性病变为肝脓肿,共19例(24.4%)。原发性恶性肿瘤诊断为26例(33.3%),继发性为15例(19.2%)。结果显示敏感性为89.7%。超声引导下细针穿刺细胞学检查是诊断多种腹腔内肿瘤性和非肿瘤性疾病的一种敏感诊断工具。它是一种简单、安全、快速且廉价的技术。

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