超声引导下经皮穿刺活检术对腹膜病变的可靠性、诊断价值及诊断率
Reliability, diagnostic value, and diagnostic yield of ultrasound-guided percutaneous core needle biopsy for peritoneal lesions.
作者信息
Arslan Muhammet, Aslan Halil Serdar, Utebey Ayse Ruksan, Vurgun Sercan, Comut Erdem, Degirmencioglu Serkan, Kılıc Derya
机构信息
Department of Radiology, Pamukkale University Faculty of Medicine, Denizli, Turkey.
Department of Radiology, Tavas State Hospital, Denizli, Turkey.
出版信息
Cancer Med. 2024 Jul;13(14):e7467. doi: 10.1002/cam4.7467.
INTRODUCTION
Peritoneal lesions cannot be definitively distinguished based on clinical and imaging characteristics alone. This study aimed to evaluate the reliability, diagnostic value, and diagnostic yield of ultrasound-guided percutaneous core needle biopsy (PCNB) for peritoneal lesions.
METHODS
A retrospective analysis of 129 patients who underwent PCNB for peritoneal lesions was performed to assessed technical completion and diagnostic yield.
RESULTS
The results showed that ultrasound-guided PCNB is a safe and reliable diagnostic tool with high diagnostic yield for peritoneal lesions. Technical feasibility and diagnostic yield rates were 100% and 89.9%, respectively. The diagnostic yield was lower for patients with a known history of cancer and a short anteroposterior diameter of the target lesion.
CONCLUSIONS
These findings suggest that ultrasound-guided PCNB could be considered as a first-line diagnostic tool for peritoneal lesions, as it offers a minimally invasive and accurate means of obtaining tissue samples for diagnosis.
引言
仅根据临床和影像学特征无法明确区分腹膜病变。本研究旨在评估超声引导下经皮穿刺活检（PCNB）对腹膜病变的可靠性、诊断价值及诊断率。
方法
对129例因腹膜病变接受PCNB的患者进行回顾性分析，以评估技术完成情况及诊断率。
结果
结果显示，超声引导下PCNB是一种安全可靠的诊断工具，对腹膜病变具有较高的诊断率。技术可行性和诊断率分别为100%和89.9%。有癌症病史且目标病变前后径较短的患者诊断率较低。
结论
这些发现表明，超声引导下PCNB可被视为腹膜病变的一线诊断工具，因为它提供了一种微创且准确的获取组织样本进行诊断的方法。
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