目的：探讨超声引导穿刺活检诊断腹膜后纤维化的价值。方法：对47例临床拟诊腹膜后纤维化的患者行经腹部超声检查，并引导腹膜后病灶穿刺活检。结果：所有患者最终病理证实腹膜后纤维化32例，排除15例。其中经超声引导穿刺活检确诊30例，占93.7%，排除12例。因肠气干扰、无理想进针路径等因素放弃穿刺的5例，行外科直视手术确诊2例，排除3例。行超声引导下穿刺活检的42例患者均一次穿刺成功，无1例严重并发症。腹膜后病灶Adler血流分级以0~Ⅰ级为主，分布位置以双肾动脉起始以下腹膜后间隙部位为主。结论：超声引导下经皮穿刺活检是术前诊断腹膜后纤维化的重要方法。
Abstract
Objective: To investigate the value of ultrasound-guided biopsy in diagnosis of retroperitoneal fibrosis(RPF).Methods: Ultrasound-guided percutaneous biopsy were performed on 47 patients who were clinically diagnosed as retroperitoneal fibrosis. Results: Among all patients, thirty-two were eventually pathologically diagnosed as RPF, and 15 were excluded. Among all, thirty cases(accounting for 93.7%) were confirmed and 12 were excluded by ultrasound-guided biopsy. Five patients failed to undertake biopsy due to intestinal interference or no ideal route of needle insertion. Two patients were diagnosed as RPF and 3 were excluded after surgical operation. All the 42 patients who received ultrasound-guided biopsy were successfully punctured at once, without serious complications. The Adler blood flow classification of retroperitoneal lesions was mainly around level 0~I, and the location was mainly in the retroperitoneal space below the double renal artery. Conclusions:Ultrasound-guided percutaneous puncture biopsy is an important method for the preoperative diagnosis of RPF.
关键词
腹膜后纤维化 /
活组织检查 /
针吸 /
超声检查 /
多普勒 /
彩色
Key words
Retroperitoneal fibrosis /
Biopsy, needle /
Ultrasonography, Doppler, color
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