Application of Sonazoid contrast-enhanced ultrasound real-time guided biopsy in liver space-occupying lesions

MIAO Jixuan; ZOU Dazhong; ZHAO Ke; MAO Weidong; ZHANG Fangxia

doi:10.19732/j.cnki.2096-6210.2023.01.008

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Application of Sonazoid contrast-enhanced ultrasound real-time guided biopsy in liver space-occupying lesions

更新时间：2025-12-15

- Application of Sonazoid contrast-enhanced ultrasound real-time guided biopsy in liver space-occupying lesions
- Vol. 32, Issue 1, Pages: 53-58(2023)
- 作者机构：
  
  1. 江阴市人民医院超声科，江苏江阴,214400
  2. 江阴市人民医院病理科，江苏江阴,214400
  3. 江阴市人民医院肿瘤科，江苏江阴,214400
- 作者简介：
- 基金信息：
- DOI：10.19732/j.cnki.2096-6210.2023.01.008
  CLC：
- Published Online：28 February 2023，
  
  Published：28 February 2023
- 稿件说明：
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缪伎玄,邹大中,赵可,等. Sonazoid超声造影全过程引导在肝脏占位性病变穿刺活检中的应用研究[J]. 肿瘤影像学, 2023, 32(1): 53-58 https://doi.

org/10.19732/j.cnki.2096-6210.2023.01.008
缪伎玄,邹大中,赵可,等. Sonazoid超声造影全过程引导在肝脏占位性病变穿刺活检中的应用研究[J]. 肿瘤影像学, 2023, 32(1): 53-58 https://doi. DOI： 10.19732/j.cnki.2096-6210.2023.01.008.

org/10.19732/j.cnki.2096-6210.2023.01.008 DOI：

摘要

目的：

通过比较常规超声引导和全氟丁烷微球超声造影（Sonazoid- contrast-enhanced ultrasound，S-CEUS）引导的肝脏占位性病变组织病理学诊断结果，评估S-CEUS引导在肝脏占位性病变穿刺活检中的价值。

方法：

选取2021年16月江阴市人民医院治疗的肝脏占位性病变患者65例，病灶65个。其中35个病灶在超声引导下进行穿刺活检，其余30个病灶在S-CEUS引导下进行穿刺活检，通过两组患者的病理学检查结果比较取材成功率。采用独立样本t检验及 2 检验，分析组间分类变量的差异。

结果：

S-CEUS引导下的取材成功率明显高于超声引导（93.3%

74.3%，

＜0.05）。当对直径＜3.0 cm的病灶进行穿刺活检时，S-CEUS引导下的取材成功率也显著高于超声引导（94.1%

61.1%，

＜0.05）。与超声引导相比，S-CEUS引导的单次取材成功率更高（79.0%

56.0%，

＜0.05）。

结论：

使用S-CEUS全过程引导，能够提高经皮肝占位性病变穿刺活检的成功率，特别在肝脏小病灶的活检中具有较高的应用价值。

Abstract

Objective:

To evaluate the value of Sonazoid- contrast-enhanced ultrasound (S-CEUS) guided needle biopsy in liver space-occupying lesions

by comparing the pathological diagnosis results of liver space-occupying lesions guided by conventional ultrasonography (US) and S-CEUS.

Methods:

Sixty-five patients with liver space-occupying lesions treated in Jiangyin Peoples Hospital from January to June 2021 were selected

with 65

lesions. 35 lesions were subjected to needle biopsy guided by US

and 30 lesions were subjected to needle biopsy guided by S-CEUS. The sampling success rate was compared by the pathological diagnosis results of the two groups of patients. Independent sample t test and 2 test were used to analyze the differences in categorical variables between groups.

Results:

The sampling success rate guided by S-CEUS was significantly higher than that guided by US (93.3%

74.3%

＜0.05). When needle biopsy was performed on smaller lesions (maximum diameter ＜3.0 cm)

the sampling success rate under S-CEUS-guided biopsy was also significantly higher than that under US guidance (94.1%

61.1%

＜0.05). Compared with US

S-CEUS-guided single sampling success rate was higher (79.0%

56.0%

＜0.05).

Conclusions:

S-CEUS real-time guidance can improve the success rate of liver space-occupying lesions biopsy

especially in small liver lesions biopsy has high application value.

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