The value of contrast-enhanced ultrasound-guided biopsy in retroperitoneal puncture

XIE Liujia; XU Yadan; WEN Jiexian; JI Zhengbiao; WANG Wenping

doi:10.19732/j.cnki.2096-6210.2019.06.003

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The value of contrast-enhanced ultrasound-guided biopsy in retroperitoneal puncture

更新时间：2025-12-15

- The value of contrast-enhanced ultrasound-guided biopsy in retroperitoneal puncture
- Vol. 28, Issue 6, Pages: 365-370(2019)
- 作者机构：
- 作者简介：
- 基金信息：
- DOI：10.19732/j.cnki.2096-6210.2019.06.003
  CLC：
- Published Online：28 December 2019，
  
  Published：28 December 2019
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谢琉嘉,徐亚丹,闻捷先,等. 超声造影引导下经皮腹膜后占位性病变穿刺活检的价值[J]. 肿瘤影像学, 2019, 28(6): 365-370 https://doi.

org/10.19732/j.cnki.2096-6210.2019.06.003
谢琉嘉,徐亚丹,闻捷先,等. 超声造影引导下经皮腹膜后占位性病变穿刺活检的价值[J]. 肿瘤影像学, 2019, 28(6): 365-370 https://doi. DOI： 10.19732/j.cnki.2096-6210.2019.06.003.

org/10.19732/j.cnki.2096-6210.2019.06.003 DOI：

摘要

目的：

探讨超声造影（contrast-enhanced ultrasound，CEUS）引导下经皮腹膜后占位性病变穿刺活检的价值。

方法：

收集80例拟行CEUS引导下经皮腹膜后占位性病变穿刺活检的患者，分析坏死显示情况、穿刺次数、取材满意率、病理诊断率和并发症。

结果：

3例因病灶内始终未见增强取消穿刺，其余77例均接受穿刺活检，常规超声和CEUS在该组患者病灶内部坏死区域的显示率分别为15.0%和62.5%，差异有统计学意义（

＜0.05）。取材满意率为100.0%（77/77），病理诊断率为100.0%（77/77），根据病理学检查结果制定治疗方案，所有患者无严重并发症发生。

结论：

CEUS较常规超声更清晰地显示腹膜后病灶的范围及坏死区域，用以引导穿刺活检，能有效地取材并获得准确的病理学诊断结果。

Abstract

Objective:

To evaluate the value of contrast-enhanced ultrasound (CEUS)-guided retroperitoneal puncture biopsy.

Methods:

Collected 80 patients who were planned to receive CEUS-guided percutaneous biopsy for retroperitoneal tumor. The interior necrosis

puncture number

the sampling satisfaction rate

pathological diagnosis rate and complications were analyzed.

Results:

The puncture was cancelled in 3 cases because there was no enhancement in the whole lesion. In the remanent 77 patients

the display rate of the interior necrotic area was 15.0% and 62.5% by conventional ultrasound and CEUS

respectively. The differenc

e was statistically signif icant (

＜0.05). The sampling satisfaction rate was 100.0% (77/77)

and the pathological diagnosis rate was 100.0% (77/77). Treatment plan was made according to pathological results. No serious complication occurred in all cases.

Conclusion:

CEUS can show the range of retroperitoneal lesions and necrotic areas more clearly than ultrasound. The method can effectively draw materials and obtain accurate pathological diagnosis.

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