超声引导下肝穿刺在肝脏实质性占位病变诊断中的价值  

VALUE OF ULTRASOUND GUIDED FINENEEDLE LIVER ASPIRATION BIOPSY IN THE DIAGNOSIS OF LIVER MASSES

作　　者：陈敏[1] 朱世亮[1] 黄雅芳[1] 曾炜[1] 叶思予 程琳[1] 

机构地区：[1]上海医科大学附属肿瘤医院超声诊断科

出　　处：《中国癌症杂志》1997年第4期280-280,共1页China Oncology

摘　　要：目的探讨超声引导下细针吸取细胞学检查在肝脏实质性病变诊断中的价值。方法对１６０４例肝脏实质性病变施行超声引导下肝穿刺的结果进行分析。结果肝穿刺诊断恶性肿瘤的敏感性为９２１０％，诊断正确率为９２８３％，假阴性率为６５９％。结论超声引导下细针吸取细胞学检查是对肝脏实质性病变诊断和鉴别诊断的一种简便、迅速、安全、有效的方法。对肝穿刺阴性的病例应密切追踪随访，必要时再作穿刺以明确诊断。PURPOSE To prove the value of ultrasound guided fineneedle aspiration biopsy on the diagnosis of liver masses.METHODS Analysis of 1604 cases seen from April 1985 to June 1996.RESULTS It was shown that diagnosis with ultrasound guided puncture in malignant tumors, the sensitivity reached 92.1%, accuracy 92.83% and false negative rate 6.59%.CONCLUSIONS Ultrasound guided fineneedle aspiration biopsy is a simple, speedy, safe and effective method in the diagnosis and differential diagnosis in liver masses. Negative results should be followed up closely and aspiration repeated.

关 键 词：活组织检查 肝肿瘤 超声波诊断 

分 类 号：R735.704[医药卫生—肿瘤]