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超声造影引导下经皮腹膜活检:3例系列报道

Contrast-Enhanced Ultrasound-Guided Percutaneous Biopsy of the Peritoneum: A Series of 3 Cases.

作者信息

Panarisi Nicol Antonina Rita, Cascella Tommaso, Morosi Carlo, Greco Francesca Gabriella, Marchianò Alfonso, Lanocita Rodolfo

机构信息

Postgraduate School in Radiodiagnostics, Università Degli Studi di Milano, Milan, Italy.

Radiology Department, Fondazione Istituto di Ricovero e Cura a Carattere Scientifico Istituto Nazionale dei Tumori, Milan, Italy.

出版信息

J Ultrasound Med. 2020 Jul;39(7):1441-1446. doi: 10.1002/jum.15230. Epub 2020 Jan 27.

Abstract

In the presence of peritoneal disease, patients often should undergo biopsy of the peritoneum for acquiring a specific pathologic diagnosis. Ultrasound is ideal for guiding peritoneal biopsy, although in some situations, it can be technically challenging. The addition of a contrast agent can improve the visualization of lesions and adjacent organs, providing radiologists increased confidence. A contrast agent can identify perfused areas within the target lesion, improving diagnostic accuracy. We present 3 cases of contrast-enhanced ultrasound-guided peritoneal biopsy. In all cases, we gained a specific diagnosis. No immediate or delayed complications occurred. Contrast-enhanced ultrasound-guided biopsy proved to be a simple, safe, and accurate diagnostic method.

摘要

在存在腹膜疾病的情况下,患者通常应接受腹膜活检以获得特定的病理诊断。超声是引导腹膜活检的理想选择,尽管在某些情况下,技术上可能具有挑战性。添加造影剂可以改善病变和邻近器官的可视化,提高放射科医生的信心。造影剂可以识别目标病变内的灌注区域,提高诊断准确性。我们介绍3例超声造影引导下的腹膜活检病例。在所有病例中,我们都获得了明确的诊断。未发生即刻或延迟并发症。超声造影引导下活检被证明是一种简单、安全且准确的诊断方法。

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