Biplane transrectal ultrasonography-guided transperineal biopsy for diagnosing women pelvic space-occupying lesions
10.13929/j.issn.1672-8475.2024.07.010
- VernacularTitle:直肠双平面超声引导下经会阴穿刺活检诊断女性盆腔占位性病变
- Author:
Wenqiang SHI
1
;
Gang DONG
;
Quan ZHENG
;
Weiqiang GAO
;
Jianwei XU
Author Information
1. 郑州大学第一附属医院超声科,河南 郑州 450052
- Keywords:
female;
pelvis;
space-occupying lesion;
ultrasonography;
perineum;
punctures
- From:
Chinese Journal of Interventional Imaging and Therapy
2024;21(7):427-430
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the safety and the feasibility of biplane transrectal ultrasonography-guided transperineal biopsy for diagnosing women pelvic space-occupying lesions.Methods Data of 14 female patients with pelvic space-occupying lesions who underwent biplane transrectal ultrasonography-guided transperineal biopsy were retrospectively analyzed.The location of pelvic space-occupying lesions,the causes for not performing biopsy transabdominally nor transvaginally,the time consuming and complications of biplane transrectal ultrasonography-guided transperineal biopsy as well as pathological results were collected.Results Among 14 cases,there were 4 cases of rectum mass,3 cases of unilateral or bilateral ovaries masses,5 cases of cervix or lower uterus mass,1 case of mass at the lateral wall of the vagina and 1 case of mass at the posterior part of the bladder.Since vagina abnormalities including severe bleeding,fungal infections,deformities,edema or after vaginal resection,or deep location of lesions and high risk of intestinal tubes injuries,transabdominal or transvaginal puncturing and biopsy were not performed.The time consuming of puncturing and biopsy were(29.50±6.05)min.During the procedures,bleeding in the puncturing tract and vagal reflex occurred each in 1 case,while no obvious complication was observed during 6-month follow-up.Biopsy pathology reported 5 cases of squamous cell carcinoma,2 cases of high grade serous carcinoma,1 case of malignant melanoma,1 case of low grade serous carcinoma,1 case of adenocarcinoma and 1 case of spindle cell tumor,as well as 3 cases of chronic inflammation,all were consistent to post operation pathology or follow-up results.Conclusion Biplane transrectal ultrasonography-guided transperineal biopsy was safe and feasible for diagnosing women pelvic space-occupying lesions.
