대한영상의학회지 (Journal of the Korean Society of Radiology)

  • 제84권6호
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  • Pages.1233-1243
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  • 2023
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  • 1738-2637(pISSN)
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  • 2288-2928(eISSN)
대한영상의학회 (The Korean Society of Radiology)
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경질 초음파 유도생검

Transvaginal Ultrasound-Guided Biopsy

  • 임수혁 (충남대학교병원 영상의학과) ;
  • 박정재 (충남대학교병원 영상의학과) ;
  • 김찬교 (성균관대학교 의과대학 삼성서울병원 영상의학과)
  • Su Hyeok Lim (Department of Radiology, Chungnam National University Hospital) ;
  • Jung Jae Park (Department of Radiology, Chungnam National University Hospital) ;
  • Chan Kyo Kim (Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 투고 : 2023.08.01
  • 심사 : 2023.09.16
  • 발행 : 2023.11.01
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초록

경피적 초음파 유도생검은 진단 및 치료 계획을 정하기 위해 다양한 신체 병변에 대한 병리 확인에 유용한 시술이다. 하지만 깊은 골반 병변은 병리진단이 어려운데 장, 방광, 주요 혈관, 그리고 골반뼈로 인해 경피적 접근이 어렵고 위험하기 때문이다. 여성의 경우 질은 탄력적이고 골반의 내부 장기와 가깝다. 따라서 경질 초음파는 골반 병변에 대한 병리진단을 위해 효과적이고 안전한 길잡이 역할을 할 수 있다. 이 종설의 목적은 경질 초음파 유도생검의 적응증과 방법을 소개하고, 또한 보고된 진단 정확도 및 안정성을 기술하고자 한다.

Percutaneous ultrasound-guided biopsy is useful for the pathologic confirmation of variable body lesions to establish diagnostic and therapeutic approaches. However, deep pelvic lesions are a challenge for pathologic diagnoses because of the presence of the bowel, bladder, major vessels, and pelvic bones which make a percutaneous approach difficult and dangerous. In female, the vagina is elastic and near the pelvic internal organs. Therefore, transvaginal ultrasound may serve as an effective and safe guide for the pathologic diagnosis of pelvis lesions. This review aimed to introduce the indications for, and the method of transvaginal ultrasoundguided biopsy, and to describe the reported diagnostic accuracy and safety.

키워드

참고문헌

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