彩超引导下穿刺活检在肝脏占位性病变中的临床应用

The Clinical Application of Colour Doppler Ultrasonography Guided Percutaneous Biopsy for Liver Masses

为探讨超声引导下穿刺活检在肝脏占位性病变中的临床应用价值,采用美国产Bard MagnumTM活检枪和配套针对肝脏占位性病变31例患者作超声引导穿刺活检,标本送组织病理学检查。结果显示,30例可作出明确诊断,其中良性病变共6例(包括血管瘤、非均质性脂肪肝和肝硬化),占19.35%;恶性肿瘤共24例(包括原发性肝癌和转移性肝癌),占77.42%;有1例取材不满意,未能得到诊断占3.23%。由此得出超声引导自动活检术是一种取材成功率高、操作简便、并发症少的组织学取材方法,在肝脏占位性病变的诊断中具有重要的临床应用价值。

To investigate the clinical usefulness of colour doppler ultrasonography（CDUS） -guided biopsy for liver masses. US-guided biopsy using Bard Magnum^TM biopfic automatic and needle made in america was performed in 31 patients who were had liver masses, the specimen was used for histopathology. A total of 30 patients had definite diagnose, among these there were six cases with innocenced mass （including angeioma、inhomogen adiposis hepatica and liver cirrhosis） ,account for 19.35% ;24 cases with malignant turnout （ including primarily hepatoma and metastatic hepatic carcinoma） ,account for 77.42% ;a case was considered unsuccessful ,account for 3.23%. US-guided auto-biopsy is a fine method for histology because of its bioptic sensitivity, operated convenience and the low incidence of complications. It has important clinical usefulness for diagnose liver masses.