CT导引下经皮肝穿刺活检26例回顾性分析

目的通过对26例CT导引下经皮肝穿刺活检病例的回顾性分析,探讨这一方法对诊断肝脏疾病的实际价值。方法利用CT确定穿刺点、穿刺角度和深度,对26例病人行经皮肝穿刺活检。结果全部病例穿刺成功,获得标本63个,病理诊断:肝硬化结节5例,占19.2%(5/26),肝脓肿2例,占7.7%(2/26),肝血管瘤4例占15.4%(4/26),胆管癌8例占30.8%(8/26),原发性肝癌3例占11.5%(3/26),肝转移癌4例占15.4%(4/26)。结论 CT导引下经皮肝穿刺活检对诊断肝脏病变是一种安全有效的方法。

Objective To analyze 26 cases of CT-guided puncture biopsy,and assess the practical value for Diagnosing Liver Disease.Methods The puncture point,the angle and distance were confirmed with CT scanning.Biopsy were performed in 26 cases with liver diseases.Results All cases were performed successfully and 63 specimens were taken.in which,hepatic cirrhosis 5 cases,19.2%（5/26）,hepatic abscess 2 cases,7.7%（2/26）,hepatic hemangioma 4 cases,15.4%（4/26）,cholangiocarcinoma 8 cases,30.8%（8/26）,primary liver cancer 3 cases,11.5%（3/26）,hepatic metastasis 4 cases,15.4%（4/26）.Conclusions Puncture biopsy with CT guidance is safe and effective in diagnosing liver disease.