超声引导下脾脏细针穿刺36例结果分析

Analysis of 36 patients treated with fine needle aspiration on spleen by ultrasonic guidance.

目的探讨超声引导脾脏细针穿刺术的临床应用价值。方法南方医科大学南方医院1999年4月至2007年3月收集的脾脏病变患者经超声引导下细针穿刺36例。诊断性穿刺29例、治疗性穿刺7例。诊断性穿刺者术后根据组织病理、细胞学结果及最后诊断统计确诊率。治疗性穿刺者术后复查,评估疗效。结果诊断性穿刺有较高的确诊率(组织学活检85.7%、细胞学抽吸62.5%),组织学活检确诊率高于细胞学抽吸。治疗性穿刺者全部治愈,疗效确切。结论超声引导脾脏细针穿刺术对明确诊断、治疗脾脏含液性病变有重要的实用价值。

Objective To investigate the clinical application of the fine needle aspiration on spleen by ultrasonic guidance. Methods The fine needle aspiration by ultrasonic guidance was performed on 36 patients with spleen diseases. Among them ,29 patients underwent diagnostic puncture, and the other 7 patients.underwent remedial puncture. The definite diagnosis rate of the diagnostic puncture group was calculated by organism pathology and cytology result, as well as final diagnosis after the operation, while the curative effect of the remedial puncture group was appraised by re-examination after the operation. Results The definite diagnosis rate of the diagnostic puncture was higher, and the definite diagnosis rate of histology biopsy group （85.7%）was higher than that of cytology aspiration group （62. 5% ）. All the patients who took remedial puncture were cured. Conclusion The fine needle aspiration on spleen by ultrasonic guidance has very important practical value in identifying the diagnosis of spleen disorders and treating fluidity processes of spleen.