超声引导穿刺诊断疑是卵巢癌的盆腔结核价值分析

目的:评价超声引导穿刺诊断疑是卵巢癌的盆腔结核的价值,为盆腔结核的鉴别诊断寻找一种可靠、经济的方法。方法:对26例确诊为盆腔结核的患者进行回顾性分析,比较超声引导穿刺、腹腔镜或开腹手术诊断盆腔结核的诊断率及住院时间、费用等。结果:26例盆腔结核患者,行超声引导穿刺诊断14例,确诊13例,诊断率92.9%;行腹腔镜及开腹手术诊断6例、7例(其中1例为超声引导穿刺未确诊病例),均确诊,诊断率均100.0%,3组间诊断率比较,差异无统计学意义(P>0.05)。超声引导穿刺组住院天数最短、住院费用以及患者术后不适感最低,各项均显著低于腹腔镜组和开腹手术组(P<0.05)。结论:女性盆腔结核与晚期卵巢癌鉴别诊断困难,若高度怀疑盆腔结核行超声引导穿刺是一种可靠、经济的诊断方法。

The Value of Ultrasound-guided Needle Biopsy in the Diagnosis of Pelvic Tuberculosis Suspected Ovarian Carcinoma

Objective:To evaluate the value of ultrasound-guided needle biopsy in the diagnosis of pelvic tuberculosis suspected of ovarian carcinoma.Methods:26 patients diagnosed as pelvic tuberculosis by ultrasound-guided needle biopsy,laparoscopy or laparotomy from October 2001 to October 2010 were retrospectively analyzed,the diagnostic accuracy and hospitalization cost and time of the three methods were compared.Results:Of the 26 patients,14 had ultrasound-guided needle biopsy,13 had accurate diagnosis,the diagnostic rate was 92.9%.6 patients had accurate diagnosis by laparoscopy and 7 patients by laparotomy,the diagnostic rates were both 100%,there were no significant differences on the diagnostic rate among the three methods(P>0.05).The patients who had ultrasound guided needle biopsy had shortest hospital stay,the least inpatient cost and postoperative discomfort compared with the other two methods(P<0.05).Conclusions:Ultrasound-guided needle biopsy is a reliable and economic diagnostic method when suspecting pelvic tuberculosis,especially when it is difficult to differentially diagnose with ovarian cancer.