超声造影下引导穿刺活检对包块型盆腔结核的诊断价值
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摘要
目的探讨超声造影下引导活检对包块型盆腔结核的诊断价值。方法随机将56例患者分为两组,A组22例,B组34例,两组患者年龄上无统计学差异,A组行超声引导下穿刺活检术;B组经超声造影后行超声引导下穿刺活检术,总结取材完整率以及病理诊断阳性率。结果 A、B两组组织完整率分别为27.3%和61.7%,B组活检组织完整率高于A组,χ~2为12.63,P值<0.05;A、B两组病理诊断阳性率分别为31.8%和91.1%,病理诊断阳性率高于A组,χ~2为21.57,P值<0.05。结论盆腔包块型结核应用超声造影下引导穿刺活检术,可提高取材完整率以及病理诊断阳性率,在诊断中有重要的实用价值。
Objective To explore the diagnostic value of guided biopsy under contrast-enhanced ultrasound for pelvic mass tuberculosis.Methods The 56 patients were randomly divided into 2 groups.There is no statistical differences of age of patients in two groups(22 cases of group A,34 cases of group B).The biopsy of group A was guided by ultrasound.The biopsy of group B was guided by ultrasound after contrast-enhanced ultrasound.The complete rates and pathological diagnosis positive rates of two groups were summarized.Results The complete rate of group A is 27.3%.The complete rate of group B is 61.7%,it′s higher than group A(χ~2=12.63,P<0.05).The pathological diagnosis positive rate of group A is 31.8%.The pathological diagnosis positive rate of group B is 91.1%,it′s higher than group A(χ~2=21.57,P<0.05).Conclusions The complete rate and pathological diagnosis positive rate can be improved,by guided biopsy under contrast-enhanced ultrasound,it has important practical value in the diagnosis of pelvic mass tuberculosis.
Objective To explore the diagnostic value of guided biopsy under contrast-enhanced ultrasound for pelvic mass tuberculosis.Methods The 56 patients were randomly divided into 2 groups.There is no statistical differences of age of patients in two groups(22 cases of group A,34 cases of group B).The biopsy of group A was guided by ultrasound.The biopsy of group B was guided by ultrasound after contrast-enhanced ultrasound.The complete rates and pathological diagnosis positive rates of two groups were summarized.Results The complete rate of group A is 27.3%.The complete rate of group B is 61.7%,it′s higher than group A(χ~2=12.63,P<0.05).The pathological diagnosis positive rate of group A is 31.8%.The pathological diagnosis positive rate of group B is 91.1%,it′s higher than group A(χ~2=21.57,P<0.05).Conclusions The complete rate and pathological diagnosis positive rate can be improved,by guided biopsy under contrast-enhanced ultrasound,it has important practical value in the diagnosis of pelvic mass tuberculosis.
引文
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[3]万登敏,韩兴权,雷劲松,等.彩色多普勒超声对包块型盆腔结核的诊断价值研究[J].重庆医学,2016,45(1):111-112.
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[6]蒋红英,杨高怡,何宁,等.输卵管结核超声造影表现分析[J].中国超声医学杂志,2015,31(4):357-359.
[7]叶小勤,刘琦.血清CA125升高在盆腔结核伴腹水中的意义[J].医学研究生学报,2004,17(12):1140,F030.
[8]熊希,高春燕,孙秋蕾,等.常规超声与超声造影诊断盆腔结核对比分析[J].中国介入影像与治疗学,2015,12(6):341-344.
[2]毛玉荣.容易误诊为卵巢恶性肿瘤的包块型盆腔结核附22例误诊病例[J].临床误诊误治疗,2018,2(12):65-66.
[3]万登敏,韩兴权,雷劲松,等.彩色多普勒超声对包块型盆腔结核的诊断价值研究[J].重庆医学,2016,45(1):111-112.
[4]TRIPATHY S N.Infertility and pregnancy outcome in female gential tuberculosis[J].Int J Gynaecol Obstet,2002,76(2):159-163.
[5]曹云云,牛建梅,姚世发,等.分析女性生殖器结核的临床特点及超声诊断[J].中国超声医学杂志,2017,33(8):721-723.
[6]蒋红英,杨高怡,何宁,等.输卵管结核超声造影表现分析[J].中国超声医学杂志,2015,31(4):357-359.
[7]叶小勤,刘琦.血清CA125升高在盆腔结核伴腹水中的意义[J].医学研究生学报,2004,17(12):1140,F030.
[8]熊希,高春燕,孙秋蕾,等.常规超声与超声造影诊断盆腔结核对比分析[J].中国介入影像与治疗学,2015,12(6):341-344.