肝癌穿刺活检后腹腔灌洗液癌细胞检测研究  

作　　者：胡夏荣[1] 王在国[1] 游志坚[1] 赵东晖[2] 叶振伟[1] 何润沛[1] 林志强[1] 俞武生[1] 郑惊雷[1] 

机构地区：[1]广东省东莞市人民医院肿瘤防治中心肿瘤外科,523059 [2]广东省东莞市人民医院病理科

出　　处：《当代医学》2013年第7期102-103,共2页Contemporary Medicine

摘　　要：目的调查研究肝癌穿刺活检后腹腔灌洗液中癌细胞情况。方法肝癌患者20例,剖腹探查后行肝癌穿刺活检,穿刺后用生理盐水100mL灌洗术野,收集灌洗液立即送病理科查找癌细胞,然后继续肝癌切除或射频消融。结果 20例腹腔灌洗液标本中,查见癌细胞1例(5%),未查见19例(95%)。结论肝癌穿刺活检可导致癌细胞脱落至腹腔肝癌患者,选择肝穿刺活检应慎重,防止医源性播散。Objective To Research cancer cells in peritoneal lavage fluids after liver biopsy. Methods 20 patients with hepatic carcinoma were performed liver biopsy after abdominal laparotomy. Operative field lavaged with 100 mL physiological saline. Pathologists rushed to detect the cancer cells in lavage fluid and liver resection or radio frequency ablation were to be continued. Results In 20 specimesns,cancer cells was found out in 1 case （5%）, no cancer cells in 19 cases （95%）. Conclusion Liver biopsy should be careful.Liver biopsy should pay attention to prevent patients from tumor iatrogenic spread.

关 键 词：肝癌 肝穿刺 腹腔灌洗液 细胞学 

分 类 号：R735.7[医药卫生—肿瘤]