Application of ultrasound-guided percutaneous biopsy in the diagnosis of cardiac tumors
10.3760/cma.j.cn131148-20200626-00528
- VernacularTitle:超声引导经皮穿刺活检术在心脏肿瘤诊断中的应用
- Author:
Yanchun ZHAO
1
;
Sheng CHEN
;
Ning LIN
;
Guorong LYU
;
Baochun LAI
;
Songsong WU
;
Yucheng LIN
Author Information
1. 福建医科大学省立临床医学院 福建省立医院超声科,福州 350001
- From:
Chinese Journal of Ultrasonography
2020;29(11):941-945
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the safety and clinical value of ultrasound-guided percutaneous core needle biopsy in the diagnosis of cardiac intermural tumors and pericardial tumors.Methods:Seven patients who underwent ultrasound-guided percutaneous cardiac tumors needle biopsy in Fujian Provincial Hospital from January 2012 to December 2019 were selected for this study. The locations and sizes of the lesions were recorded preoperatively by echocardiography and the operation time was recorded by conventional ultrasonography. The postoperative complications was followed up, and the satisfaction of pathological materials was used as the evaluation standard to comprehensively analyze the safety and clinical application value of ultrasound-guided percutaneous biopsy in the diagnosis of cardiac tumors.Results:Ultrasound-guided percutaneous biopsy was performed successfully in all the 7 cases, 3 of them were intermural tumors and 4 of them were pericardial tumors. Except for 2 patients with diffuse pericardial space, the maximum diameter of the remaining 5 patients was (58.6±23.5)mm. Six cases were punctured from the apex of the heart, and 1 case from the left parasternal through third intercostal space toward the bottom of the heart as the needle pathway. The satisfaction of pathological material was 100%, and the time of procedure was (15.1±3.3)min. There were no postoperative complications such as bleeding, infection or arrhythmia.Conclusions:Ultrasound-guided percutaneous transthoracic needle biopsy is safe and feasible, which provides a simple and easy method for the biopsy of cardiac intramural tumors and pericardial tumors.