超声引导下穿刺活检在诊断网膜病变中的应用价值

目的探讨超声引导下经皮穿刺活检在网膜病变中的临床应用价值。方法对2010年6月-2013年6月来我科就诊的29例网膜病变患者行超声引导下经皮穿刺活检，并随访观察有无并发症。结果本组29例均成功获取组织标本，穿刺成功率100％，其中27例明确了病理学诊断，定性诊断率93．1％（27／29）。以术后病理或随访影像学检查结果为最终临床诊断结果，穿刺定性诊断符合率92．6％（25／27）。有1例（3．5％，1／29）术后出现腹壁肿胀，无严重并发症发生。结论超声引导下经皮穿刺活检网膜病变准确性高，可为临床诊断提供参考。

Application of ultrasound-guided biopsy in diagnosis of omental diseases

Objective To study the value of ultrasound-guided biopsy in diagnosis of omental diseases. Methods Twenty-nine patients with omental diseases who underwent ultrasound-guided biopsy in our department from June 2010 to June 2013 were followed up to observe their complications. Results Ultrasound-guided biopsy samples were successfully taken from the 29 patients with a success puncture rate of 100%. Of the 29 patients, 27 were diagnosed with omental diseases by histopathology with a qualitative diagnostic rate of 93.1% （27/29）. Of these 27 patients, 25 were followed up, during which they were finally diagnosed with omental diseases by pathology with a qualitative diagnostic rate of 92.6% （25/27）. No severe complications occurred except for abdominal wall swelling in 1 patient （3.5%, 1/29） after biopsy. Conclusion The accuracy of ultrasound-guided biopsy is high for the diagnosis of omental diseases and can thus provide reference for their clinical diagnosis.