B超导向针吸细胞学检查对肝脏肿瘤的诊断价值(附197例报告)

VALUE OF ULTRASONICALLY GUIDED FINE NEEDLE ASPIRATION CYTOLOGY IN THE DIAGNOSIS OF NEOPLASM OF THE LIVER

本文报告197例肝脏肿块的B超导向针吸细咆学诊断,针吸获得足够的细胞标本者189例,占95.9％。145例肝脏恶性肿瘤中,针吸细胞学刚性136例,对肝脏恶性肿瘤的诊断率为93.8％。发生假阴性9例,占6.2％,无假阳性,发生轻微并发症6例。在52例良性病变中,27例肝脓肿、4例肝囊肿、2例肝结核经细胞学检查结合临床表现明确了诊断。此项检查敏感性为95.1％,特异性为100％,准确性为95％。因此,针吸细胞学对肝占位性病变的定性诊断具有较高的价值,值得临床推广应用。

Ultrasonically guided fine-needle aspiration cytodiagnosis in 197 cases of occupied lessions of liver was reported in the paper. As a result the success rate of obtaining sufficient cytologic specimens by fine-needle aspiraitort was 95.9％. Six cases of minimal complications occurred. 136 of 145 cases of hepatic malignarnce were positive by cytodiagnosis. The accurate rate of diagnosis for hepatic malignance was 93.8％. There was not false positive. There were 9 cases of false negative diagnosis. The incidence was 6.2％. 27 cases of liver abscess, 4 cases of liver cysts and 2 cases of liver tuberculosis were diagnosed by combining the procedure with clinical manifestation. Consequently the sensitivity of the procedure was 95.1％. The specificity was 100％. The accuracy was 95.4％. Therefore ultrasonically guidcd fineneedle aspiration cytology is an accurate, safe method for diagnosis of occupied diseases of the liver.