摘要
目的：探讨超声引导大网膜活检在良恶性腹水鉴别中的临床实用价值。方法：152例腹水原因待查患者，经超声检查均有不同程度不同部位的大网膜增厚，在超声引导下对增厚的大网膜活检作病理学诊断。同时进行腹水肿瘤细胞学检查及腹水的肿瘤标志物AFP、CEA、CA199、CA125检测。结果：大网膜活检阳性率96.1%（146/152），病理诊断明确，腹水脱落细胞学检查及肿瘤标志物检查结果均低于大网膜活检。结论：对于原因不明的伴有大网膜增厚的腹水的诊断，超声引导大网膜穿刺活检是一种最有临床价值的首选的诊断方法。
Abstract
Objective: To explore the practical value of ultrasound-guided biopsy of omentum in the differential diagnosis of benign and malignant ascites in clinic. Methods: One hundred and fifty-two patients of uncertain ascites with thickened omentum of different degree and in different sites were observed on ultrasound. All the patients underwent thickened omentum biopsy guided by ultrasound, and gained pathological results. Simultaneously, all the patients underwent ascitic cytological examination and tumor-marker(AFP, CEA, CA199, CA125) tests. Results: The positive rate of omentum biopsy was 96.1%(146/152), which is higher than the ascitic cytological examination and ascitic tumor-marker tests. Conclusions: Ultrasound-guided biopsy of omentum is the first-choice and also the most valuable diagnostic method in clinic for uncertain ascites with thickened omentum.
关键词
腹水 /
网膜 /
活组织检查 /
针吸 /
超声检查 /
多普勒 /
彩色
Key words
Ascites /
Omentum /
Biopsy /
needle /
Ultrasonography /
Doppler /
color
陶春梅;王学梅;刘艳君;欧国成;李 平.
超声引导大网膜活检在良恶性腹水鉴别中的临床实用价值[J]. 中国临床医学影像杂志. 2008, 19(1): 48-50
TAO Chun-mei;WANG Xue-mei;LIU Yan-jun;OU Guo-cheng;LI Ping.
Practical value of omentum biopsy guided by ultrasound in the differential diagnosis of benign and malignant ascites[J]. Journal of China Clinic Medical Imaging. 2008, 19(1): 48-50
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