CT片与电视透视相结合行肝穿刺活检

Percutaneous Liver Biopsy Guided by Combining CT Picture with Fluoroscopic TV System——A Report of 43 Cases

在 CT 片与 X 线电视透视下进行了43例44人次的肝穿刺活检脱落细胞检查和病理学检查,结果对于恶性肿瘤穿刺活检的准确率为97.7%。无出血,感染,气胸等并发症发生。作者认为,对于直径5 cm 以上的肝内结节病灶或弥漫型病灶,CT 片与 X 线电视透视相结合行肝穿刺活检具有省时,方便,经济,并发症少,敏感性高,特异性强的病理诊断的优点。对于大多数的病例,穿刺术后立即能作相应的治疗。因此,值得在临床上推广使用。

43 patients for the purpose of histopathologic diagnosis were performed liver biopsy by combining CT picture with fluoroscopic TV system guidance.The overall diagnostic accura- cy rate was 97.7%.No complications of bleeding,infection and pneumothorax were found immediately after liver biopsy.It is believed that if the diameter of liver mass is over 5 cm or multiple lesions,percutaneous liver biopsy can be used by combining CT picture with fluoro- scopic TV system guidance.The method has high accuracy rate,low complication inci- dence,short time of manipulation and economy;besides,almost all patients underwent liver biopsy can be given interventional treatment immediately.Therefore,it is worth spreading clinical application of the method.