常规超声及超声引导下穿刺活检在小儿腹部肿瘤诊断中的应用

The value of ultrasound and ultrasound-guided core needle biopsy in the diagnosis of abdominal masses in pediatric patients

目的:探讨常规超声及超声引导下穿刺活检在小儿腹部肿瘤诊断中的应用。方法:回顾性分析2015年6月至2018年3月于广西医科大学第一附属医院住院治疗的102例腹部肿瘤患儿的常规超声、超声引导下穿刺活检病理及手术病理资料。结果:常规超声可对74例患儿的肿瘤性质来源进行准确判断,诊断符合率为72.5%(74/102),仅可对28例(27.5%)患儿肿瘤作出定位和物理性诊断;超声引导下穿刺活检:98例获得病理学结果,取材成功率96.1%(98/102),95例穿刺病理与手术病理符合,穿刺病理确诊率为96.94%(95/98),3例(3.06%)穿刺病理与手术病理不符合。结论:常规超声对小儿腹部肿瘤的大小、内部回声、与周围脏器关系、病变性质来源的判断等方面有一定的帮助,而超声引导下穿刺活检能够明确肿瘤的分类和性质,是治疗前进行病理诊断的一种有效、安全的方法,在小儿腹部肿瘤中有较高的临床诊断价值。

Objective:To explore the value of ultrasound(US)and US-guided core needle biopsy in the diagnosis of abdominal masses in pediatric patients.Methods:The US image data and pathological results of102pediatric patients with abdominal masses in our hospital from June2015to March2018were retrospective analyzed.Results:The source of tumor was detected by US examination,and the accurate diagnostic rate was72.5%(74/102).The tumor localization and physical properties were identified in28of the102cases(27.5%)by US examination.The pathological results of98cases(96.1%)were obtained by US-guided needle biopsy.The biopsy pathology results of95cases were consistent with their surgical pathology results.The accurate diagnostic rate of biopsy pathology was96.94%(95/98).Conclusion:US can help to determine the size of abdominal mass in pediatric patients,the internal echo,the relationship with surrounding organs,and the source of lesions.US-guided core needle biopsy can clarify the classification and nature of the tumor,which is effective and safe for pathological diagnosis before treatment,and is valuable for the diagnosis of abdominal mass in pediatric patients.