Diagnosis of retroperitoneal fibrosis by ultrasound-guided biopsy
CHEN Sheng-jiang1, SHANG Zhi-wei1, LIU Yi-jing1, XIE Yu-juan1, ZHU Jian-ping2, ZHANG Qiang3, ZHAO Xiao-li1, WANG Yun-chang1
1.The First Affiliated Hospital, and College of Clinical Medicine of Henan University of Science and Technology,
Luoyang Henan 471000, China;
2.Department of Radiology, Heping Hospital Affiliated to Changzhi Medical College, Changzhi Shanxi 046000, China;
3.Department of Ultrasound, the Affiliated Tiantan Hospital, Capital Medical University, Beijing 100050, China
Abstract：Objective: To investigate the value of ultrasound-guided biopsy in diagnosis of retroperitoneal fibrosis(RPF).Methods: Ultrasound-guided percutaneous biopsy were performed on 47 patients who were clinically diagnosed as retroperitoneal fibrosis. Results: Among all patients, thirty-two were eventually pathologically diagnosed as RPF, and 15 were excluded. Among all, thirty cases(accounting for 93.7%) were confirmed and 12 were excluded by ultrasound-guided biopsy. Five patients failed to undertake biopsy due to intestinal interference or no ideal route of needle insertion. Two patients were diagnosed as RPF and 3 were excluded after surgical operation. All the 42 patients who received ultrasound-guided biopsy were successfully punctured at once, without serious complications. The Adler blood flow classification of retroperitoneal lesions was mainly around level 0~I, and the location was mainly in the retroperitoneal space below the double renal artery. Conclusions:Ultrasound-guided percutaneous puncture biopsy is an important method for the preoperative diagnosis of RPF.
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2018, Vol. 29 
