| 王国涛,陈钦奇,李盈,黄云霞,彭清海,刘明辉.剪切波弹性成像引导穿刺活检诊断结核性腹膜炎[J].中国介入影像与治疗学,2018,15(3):156-159 |
| 剪切波弹性成像引导穿刺活检诊断结核性腹膜炎 |
| Shear wave elastography guided biopsy in diagnosis of tuberculous peritonitis |
| 投稿时间：2017-09-13 修订日期：2017-10-17 |
| DOI：10.13929/j.1672-8475.201709016 |
| 中文关键词: 腹膜炎,结核性 剪切波 弹性成像技术 活组织检查 |
| 英文关键词:Peritonitis,tuberculous Shear wave Elasticity imaging techniques Biopsy |
| 基金项目:湖南省自然科学基金（12JJ3102）。 |
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| 中文摘要: |
| 目的 探讨剪切波弹性成像（SWE）引导穿刺活检对结核性腹膜炎的诊断价值。方法 回顾性分析25例接受SWE引导穿刺活检（SWE引导组）及25例接受常规超声引导穿刺活检（常规超声引导组）的结核性腹膜炎患者的临床资料。比较2组穿刺活检取材成功率及并发症发生率的差异。结果 SWE引导组穿刺活检取材成功率为100%（25/25），穿刺相关并发症发生率为8.00%（2/25）。常规超声引导组穿刺活检取材成功率为84.00%（21/25），穿刺相关并发症发生率为32.00%（8/25）。SWE引导组穿刺活检取材成功率高于常规超声引导组（χ2=4.348，P=0.037）且并发发生率低于常规超声引导组（χ2=4.500，P=0.034）。结论 相对于常规超声，SWE可更精准地引导靶向穿刺，并减少穿刺相关并发症。 |
| 英文摘要: |
| Objective To assess the clinical value of ultrasound shear wave elastography (SWE) guided biopsy for diagnosis of tuberculous peritonitis. Methods Clinical data of 25 tuberculous peritonitis patients who underwent SWE guided biopsy (SWE guided group) and other 25 tuberculous peritonitis patients who underwent conventional ultrasound guided biopsy (conventional ultrasound guided group) were retrospectively analyzed. The successful rate of biopsy and the complication occurrence were compared between the two groups.Results The success rate of SWE guided group was 100%(25/25), and the rate of complication occurrence was 8.00% (2/25). The successful rate and complication occurrence in conventional ultrasound guided group was 84.00%(21/25) and 32.00% (8/25), respectively. There were statistical differences of success rate of biopsy (χ2=4.348, P=0.037) and the complication occurrence (χ2=4.500, P=0.034) between the two groups. Conclusion Compared with conventional ultrasound, SWE guidance can improve the success rate and reduce the complication occurrence of biopsy. |
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