The diagnostic efficiency of ultrasound-guided biopsy of gastrointestinal lesions
10.3760/cma.j.issn.1008-1372.2019.08.002
- VernacularTitle:经腹超声引导穿刺活检对胃肠道病变的诊断价值
- Author:
Meijuan LIANG
1
,
2
;
Baili CHEN
;
Yujun CHEN
;
Ren MAO
;
Xiaohua XIE
;
Xiaoyan XIE
Author Information
1. 广州医科大学研究生学院 510182
2. 中山大学附属第一医院超声科
- Keywords:
Ultrasonography;
Image-guided biopsy;
Gastrointestinal tract
- From:
Journal of Chinese Physician
2019;21(8):1125-1128
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the diagnostic efficiency of ultrasound-guided biopsy in the diagnosis of gastrointestinal lesions.Methods The study retrospectively analyzed 41 cases who underwent ultrasound-guided biopsy and diagnosis were confirmed as gastrointestinal lesions either by surgery resections or by biopsies in our hospital from January 2006 to April 2018.The detection rate and the safety in the diagnosis of gastrointestinal lesions by ultrasound-guided biopsy were evaluated and they were compared with clinical efficiency of the endoscopic biopsy.Results (1) Of the 41 cases underwent ultrasound-guided biopsies,38 cases were confirmed by pathology.A 92.7% detection rate had achieved by ultrasound-guided biopsies.In the 38 cases,the diagnoses were grouped in benign and malignant,with 29 malignant and 9 benign.(2) Among the 13 cases examined by both of the ultrasound-guided biopsy and endoscopic biopsy,the diagnostic accuracy of ultrasound-guided biopsy was 84.6% and 61.5% with endoscopy.No significant difference (P =0.378) between the two modalities.(3) No complication occurred with both of methods.Conclusions Ultrasound-guided biopsy of gastrointestinal lesions is a safe and effective method.It would be an alternative solution to provide clinicians with reliable diagnosis,especially when endoscopic diagnosis is not inapplicable or failed.