CT引导下经皮经胃胰头占位病灶的活检  

Percutaneous and trans-gastric biopsy of pancreatic head space-occupying focus under the guidance of CT

作　　者：杜军武[1] 赵铁军[1] 刘鹏[1] 徐元昌[1] 林青[1] 郭威[1] 

机构地区：[1]成都军区总医院普通外科,成都610083

出　　处：《西南国防医药》2014年第3期291-293,共3页Medical Journal of National Defending Forces in Southwest China

摘　　要：目的探讨CT引导下经皮经胃胰头占位病灶穿刺活检术的方法和诊断意义。方法对我院收治的10例胰头占位患者,在CT引导下行经皮经胃胰头占位穿刺活检术,对病例资料进行回顾性分析。结果均穿刺成功,取得满意的病理组织。10例中,病理检查结果提示8例为胰腺癌,2例为硬化性胰腺炎,对后期治疗提供了极大的帮助。其中8例出现穿刺点疼痛,3例出现术后血淀粉酶升高,1例发生胰腺穿刺点出血约200 ml,经过止痛、生长抑素抑制胰腺分泌、止血后好转。无胃瘘、肠瘘、胰漏、胃出血、针道转移等发生。结论 CT引导下经皮经胃胰头占位活检术是一种安全、可行的诊断方法。Objective To investigate the safety and diagnostic significance of CT-guided percutaneous and transgastric puncture and biopsy in patients with space-occupying focus. Methods Ten patients with pancreatic head focus received the CT-guided percutaneous and transgastric puncture and biopsy. Their case data were retrospectively analyzed. Results Puncture and biopsy were successful in all the cases, and satisfactory pathological tissues were obtained. Among the 10 cases, the pathologic examination suggested that 8 cases were pancreatic cancer and two were sclerosed pancreatitis,which provided great help for the later treatment. Punctured site pain occurred in 8 patients;postoperative increase of serum amylase occurred in 3 ones;bleeding in pancreatic puncture site with the volume of 200 ml occurred in one patient. All cases were relieved after odynolysis, the inhibition of pancreatic secretion with growth hormone release inhibiting hormone, and hemostasis. There were not complications such as gastric fistula, intestinal fistula, pancreatic leakage,gastric bleeding,and needle track implantation. Conclusion CT-guided percutaneous and transgastric puncture and biopsy is a safe and feasible diagnostic method for pancreatic head soace-occupyin~ focus.

关 键 词：胰头 占位病灶 CT引导 活检 

分 类 号：R446.8[医药卫生—诊断学]