膈顶部肝脏病灶经多普勒超声引导下穿刺活检临床观察

Clinical Experience of Puncture Biopsy Guided by Doppler Ultrasound in the Liver Lesions at the Top of the Diaphragm

目的总结膈顶部肝脏病灶经多普勒超声引导下穿刺活检的经验。方法定量随机抽样选取我院于2015年3月～2018年7月收治的膈顶部肝脏疾病患者34例,分析膈顶部肝脏病灶超声引导下穿刺活检术临床资料,总结超声引导下对提高肝膈顶部疾病诊断的临床价值及穿刺过程中病理取材操作的个人心得。结果弥漫性病变13例,其中肝硬化6例,肝炎7例;良性病变14例,其中血管瘤9例,肝脓肿5例;恶性肿瘤7例,其中肝细胞癌5例,转移性肝癌2例。34例活检均在超声引导下导向明确,无副损伤,穿刺成功率高,病理均成功获取,为临床提供了良好的诊断依据。结论超声引导下对肝膈顶部病灶穿刺活检是安全可行的,很大程度上提高了肝膈顶部疾病的临床诊断。

Objective To sum up the experience of puncture biopsy guided by doppler ultrasound in the liver lesion at the top of the diaphragm.Methods Quantitative random sampling was performed in34patients with sacral hepatic disease admitted to our hospital from March2015to July2018.The clinical data of ultrasound-guided biopsy under the guidance of the sacral hepatic lesion were analyzed.The clinical value of the diagnosis and the personal experience of the pathological operation during the puncture.Results13cases of diffuse lesions,including6cases of cirrhosis,7cases of hepatitis;14cases of benign lesions,including9cases of hemangiomas,5cases of liver abscess;7cases of malignant tumors,including5cases of hepatocellular carcinoma and2cases of metastatic liver cancer.All34biopsies were guided by ultrasound guidance,no secondary injury,high puncture success rate,and successful pathology,which provided a good diagnostic basis for clinical practice.Conclusion Ultrasound-guided biopsy of the top of the liver is safe and feasible,which greatly improves the clinical diagnosis of the disease of the liver.