CT导引下穿刺活检对骨盆肿瘤的诊断价值

CT12121(1.,510515;2.)CT32CT,23,91670,4215520cm(10cm15,10cm17),14,13,4,1CT32,32,100%CT;;;CTR738.1;R730.44A100528664(2008)0320246203Valueofcomputedtomographyguidedpercutaneousfine2needleaspirationbiopsyindiagnosisoftumorinpelvisCHENQiang,QIUShi2jun,JINDa2di,etal(SpinalandOrthopaedicsurgery,NanfangHospital,SouthernMedicalUniversity,Guangzhou510515,China)AbstractObjectiveToevaluatethevalueofcomputedtomography(CT)guidedpercutaneousfineneedleaspirationbiopsy(FANB)inexaminationoftumorinpelvic.MethodsThirty2twopatients,in2cluding23malesand9females,aged1670,withlesionslocatedinthepelvis,520cminsize(10cmin15casesand10cmin17cases),underwentCT2guidedpercutaneousFANBwithfineneedlebyanteriororposteriorapproach.Thebiopsysitesincludedthesite(n=14),site(n=13),site(n=4)andsite(n=1).ThekeypointsofFANBincludedselectionofappropriatedepthandentryofnee2dle.Pathologicalexaminationwasdoneforallbiopsyspecimens.ResultsAlllesionsweresafelypuncturedwithanaccuracyrateof100%andwithoutmajorcomplication.Pathologicalexaminationshowedthat32le2sionsweremalignant.Theaccuracyrateofdiagnosisofmalignanttumorinpelviswas100%.ConclusionsCT2guidedpercutaneousFANBisasafeandeffectivemethodforthediagnosisanddifferentialdiagnosisoftumorsinpelvis.KeywordsPelvis;Neoplasms;Biopsy;Needleaspiration;CT:2007207210:,,,,[13],,:,,,,,CT,[4,5]20051,CT,,,11:32,23,9167014,13,4,18,2464220086153ChinJClinOncolRehabil,June2008,Vol15,No.313,19520cm(10cm15,10cm17)CTMRI,CTMRI,,21:(1):CTSIEMENSPlus4CT(Siemens),13G214mm(Optimed)(2):CT,CTCT,,4hCT,(1),,CT,5mm,5mm,,,,,CT,5mm,10mm,1a.CT;b.;c.;d.,(2),2%,CT,,,,,,10minCT,2a.CT;b.;c.;d.11,11CT:CT100%,32CT,:3232,32,:10,10,8,4,,CT100%11100%(1,2)1144523135251413112(%)1044100104410082210041110074220086153ChinJClinOncolRehabil,June2008,Vol15,No.321:CT,,CT,,CT,,CT,CT,CT,,,CT[6],,,,,,CT:CT,,;,,32;,,;,CT;,100%[7]CT:(),CT,:;;,,;CT,,,:,,,,,,,,,,,,,:,,,,,,,,,;,,[1],.[M].:,2001.3662378.[2].[M].4.:,2002.110521115.[3],.[M].3.:,2005.158221585.[4].[J].,2001,81:9612962.[5],.CT[J].,2006,86:217.[6]ZhangXZ,LuY.CTguidedtranscutaneousfine2needleaspirationbiopsy[J].ChinMedJ,1990,103:5992603.[7]DoddLG,MooneyEE,LayfieldLJ,etal.Fine2needleaspirationofliverandpancreas:acytologyprimerforradiologist[J].Radiol2ogy,1997,203:129.84220086153ChinJClinOncolRehabil,June2008,Vol15,No.3