| 陈霞,张艳华,汪丽娟,张翠,程文.超声引导下活检诊断晚期卵巢癌的临床价值[J].中国医学影像技术,2014,30(7):1080~1083 |
| 超声引导下活检诊断晚期卵巢癌的临床价值 |
| Ultrasound-guided biopsy in diagnosis of advanced ovarian cancer |
| 投稿时间：2014-03-27 修订日期：2014-06-09 |
| DOI： |
| 中文关键词: 穿刺术 活组织检查 超声检查 卵巢肿瘤 腹膜 |
| 英文关键词:Prectures Biopsy Ultrasonography Ovarian neoplasms Peritoneum |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨超声引导下穿刺活检诊断晚期卵巢癌的临床应用价值。 方法 对102例怀疑晚期卵巢癌患者行超声引导下穿刺活检，并将结果与术后病理进行比较分析。结果 穿刺取材满意率93.68%（163/174），活检成功率91.18%（93/102）。根据卵巢病灶最大径分为3组：>5.0 cm组36例、1.5~5.0 cm组50例、<1.5 cm组16例，三组穿刺诊断准确率分别为94.44%（34/36）、98.00%（49/50）、62.50（10/16），三组间差异有统计学意义（P<0.05）；<1.5 cm组中采用腹膜活检、卵巢联合腹膜活检者的诊断准确率高于单独卵巢肿物活检者，差异具有统计学意义（P=0.029）。结论 对可疑晚期卵巢癌患者行超声引导下穿刺活检，对于晚期卵巢癌及某些特殊病例的确诊与治疗具有重要的临床意义。 |
| 英文摘要: |
| Objective To evaluate the value of ultrasound-guided percutaneous biopsy in diagnosis of advanced ovarian cancer. Methods Totally 102 patients with suspected advanced ovarian cancer underwent ultrasound-guided biopsy, and the results were compared with postoperative pathologic results. Results The satisfactional rate of tissue samples was 93.68% (163/174), and the successful rate of biopsy was 91.18% (93/102). According to the tumor maximum diameter, the 102 patients were divided into three groups, i.e. >5.0 cm group (n=36), 1.5-5.0 cm group (n=50), and <1.5 cm group (n=16), The diagnostic accuracy rate was 94.44% (34/36), 98.00% (49/50) and 62.50% (10/16), respectively (P<0.05). In the <1.5 cm group, the diagnostic accuracy of peritoneal biopsy and ovarian lesions combined with peritoneal biopsy was higher than that of ovarian lesions biopsy alone (P=0.029). Conclusion Percutaneous biopsy with ultrasound-guided have great clinical utility in diagnosis and treatment of patients with suspected advanced ovarian cancer, especially in some special cases. |
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