Pardes J G, Schneider M, Koizumi J, Engel I A, Auh Y H, Rubenstein W
Cardiovasc Intervent Radiol. 1986;9(2):65-8. doi: 10.1007/BF02577902.
The classical approach for the fine-needle aspiration biopsy of deep pelvic masses has been through the lower anterior abdominal wall. With this approach, and using either CT or sonographic guidance, bowel or bladder may be unavoidably traversed to reach the mass. We have been using a posterior approach through the sciatic notch, which is a safe and simple procedure, with good results. The biopsy is done with the patient in a prone position, using a 22-gauge biopsy needle. With this technique we have successfully biopsied various neoplastic pelvic entities.
对于深部盆腔肿块进行细针穿刺活检的经典方法是经下腹前壁。采用这种方法，在CT或超声引导下，为了到达肿块可能不可避免地会穿过肠管或膀胱。我们一直在采用经坐骨切迹的后路方法，这是一种安全且简单的操作，效果良好。活检时患者取俯卧位，使用22号活检针。通过这种技术，我们已成功对各种盆腔肿瘤实体进行了活检。
