Gao Chuanfen, Wang Ling, Zhang Chaoxue, Li Xin
Department of Ultrasound, The First Affiliated Hospital of Medical University of Anhui, Hefei, Anhui 230022, P.R. China.
Department of Interventional Ultrasound, Chinese PLA General Hospital, Beijing 100853, P.R. China.
Exp Ther Med. 2019 Jul;18(1):352-357. doi: 10.3892/etm.2019.7563. Epub 2019 May 9.
Ultrasound guidance for histological diagnosis is in real-time, convenient, and economical. The aim of this study was to determine whether transvaginal ultrasound (TVUS)- and transrectal ultrasound (TRUS)-guided aspiration biopsy allows detection of a malignant pathology of pelvic/pelvic masses. Data of 40 patients with pelvic and pelvic mass lesions by computed tomography or magnetic resonance imaging underwent TVUS- or TRUS-guided biopsy. Tissue samples obtained were assessed on suitability for histopathologic evaluation. The post-biopsy complication was monitored. All the specimens in the pelvic floor, vaginal stump, vaginal fornix, cervix, and posterior wall of the anal canal were adequate for histologic diagnosis. There were no post-biopsy complications. Transvaginal/transrectal ultrasound-guided aspiration biopsy is safe and simple. It can be used for the diagnosis and differential diagnosis of pelvic and pelvic floor lesions in women. Prospective studies are needed to test diagnostic performance across clinical scenarios.
超声引导下的组织学诊断具有实时、便捷和经济的特点。本研究的目的是确定经阴道超声（TVUS）和经直肠超声（TRUS）引导下的穿刺活检能否检测出盆腔/盆腔肿块的恶性病变。对40例经计算机断层扫描或磁共振成像诊断为盆腔和盆腔肿块病变的患者进行了TVUS或TRUS引导下的活检。对获取的组织样本进行组织病理学评估的适用性评估。监测活检后的并发症。所有取自盆底、阴道残端、阴道穹窿、宫颈和肛管后壁的标本均适合组织学诊断。活检后无并发症发生。经阴道/经直肠超声引导下的穿刺活检安全且简单。它可用于女性盆腔和盆底病变的诊断及鉴别诊断。需要进行前瞻性研究以测试在不同临床场景下的诊断性能。
