Kết quả sinh thiết kim lõi dưới hướng dẫn siêu âm trong chẩn đoán u bụng tại bệnh viện nhi trung ương

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Tác giả: Ngoc Lan Bui, Dinh Cong Le, Thi Thanh Huong Nguyen, Van An Vu

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Journal of Clinical Medicine – Hue Central Hospital, 2020

Mô tả vật lý: tr.69-75

Bộ sưu tập: Metadata

ID: 379364

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Background: The gold standard for diagnosing tumor lesions is the result of pathology. Previously, patientshad to perform the opened biopsies. Recently, most patients underwent ultrasound - guided core needle biopsy.Objective: recommendations for results and safety of ultrasound-guided core needle biopsy (UCNB) inthe diagnosis of abdominal masses in children.Subjects and Methods: From June 2019 to June 2020, there were 105 patients with abdominal solid tumorwho had been indicated to perform ultrasound-guided core needle biopsy in the National Children’s Hospital.Results: Of the 105 patients involved in the study, 88 were malignant (accounting for 83.8%) with themajority being neuroblastoma. 100% of patients had been performed procedures successly, but accuratepathological diagnosis reached 95.2%. 10.5% of patients was performed in an emergency clinical situation.Rate of complication with bleeding was 6.7%. Mortality was 1% due to severe hemorhage.Conclusion: Ultrasound-guided core needle biopsy is a method for result successful highly. The rate ofsevere bleeding complications is acceptable.Tiêu chuẩn vàng chẩn đoán xác định tổn thương u là kết quả giải phẫu bệnh. Trước đây, bệnh nhân phải sinh thiết mở khối u. Gần đây, hầu hết bệnh nhân đã được sinh thiết kim lõi dưới hướng dẫn của siêu âm. Mục tiêu: Nhận xét kết quả và biến chứng của kỹ thuật sinh thiết khối u bụng bằng kim lõi dưới hướng dẫn của siêu âm (gọi tắt là sinh thiết kim). Đối tượng và phương pháp nghiên cứu: Tất cả các bệnh nhân có khối u bụng có chỉ định sinh thiết kim tại Bệnh viện Nhi Trung ương trong thời gian từ 6/2019 đến 6/2020 đã được thực hiện kỹ thuật. Mỗi bệnh nhân có hồ sơ theo dõi chẩn đoán, kết quả giải phẫu bệnh và các chỉ số nghiên cứu. Kết quả: 88 trong số 105 bệnh nhân được sinh thiết kim có tổn thương ác tính, chiếm 83,8%, phần lớn là u nguyên bào thần kinh. 100% bệnh nhân được thực hiện kỹ thuật thành công nhưng kết quả mô bệnh học chính xác đạt 95,2%. 10,5% bệnh nhân sinh thiết kim với tình trạng lâm sàng cấp cứu. Tỷ lệ chảy máu sau sinh thiết là 6,7%. Tỷ lệ tử vong là 1% do chảy máu nặng. Kết luận: Sinh thiết khối u bụng bằng kim lõi dưới hướng dẫn của siêu âm là phương pháp đạt kết quả thành công cao. Tỷ lệ biến chứng chảy máu nặng có thể chấp nhận được.

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