弹簧芯状活检针在CT导向经皮肝穿刺活检中的应用  

Application of spring core biopsy needle under CT guidance for percutaneous liver biopsy

作　　者：顾玉明[1] 祖茂衡[1] 徐浩[1] 李国钧[1] 张庆桥[1] 魏宁[1] 

机构地区：[1]徐州医学院附属医院介入放射科,江苏徐州221002

出　　处：《徐州医学院学报》2003年第6期524-526,共3页Acta Academiae Medicinae Xuzhou

摘　　要：目的　探讨CT引导下应用弹簧芯状活检针行经皮肝穿刺的临床应用价值。方法　肝脏占位性病变患者 18例 ,所有病例均在CT引导下穿刺到达预定位置 ,使用弹簧芯状活检针穿刺取材。穿刺部位分别为 :肝右叶12例 ,肝左叶 5例 ,肝尾叶 1例。病灶直径 2～ 14cm。结果　一次穿刺成功率 10 0 %。 17例肝脏占位性病变得到病理诊断 ,原发性肝癌 11例 ,转移性腺癌 5例 ,局灶结节性增生 1例 ,活检确诊率 94.4% ;1例未找到病变组织。穿刺后出现肝被膜下少量积血和肝区疼痛伴一过性低血压各 1例。结论　CT引导下应用弹簧芯状活检针行经皮肝穿刺是诊断肝脏占位性病变的一种安全。t:Objective To evaluate t h e clinical application of spring core biopsy needle under CT guidance for percut aneous liver biopsy.?Methods 18 cases of percutaneous li ver biopsy were performed using spring-core biopsy needle under CT guidance Wh en the needle reached the desired site, a tissue specimen was taken. Biopsy of r ight lobe was performed in 12 cases, left lobe in 5 and caudate lobe in 1. The l esions varied in size from 2～14 cm in diameter.?Results The successful rate of puncture was 100%. Pathologic diagnosis was obtained in 17 of 18 cases (94.4%), including 11 cases of hepatocelluilar carcinoma, 5 meta static adenocarcinoma and 1 focal nodular hyperplasia. One case of subcapsular hemorrhage and one case of hepatalgia were encountered after puncture.?Conclusion Percutaneous liver biopsy under CT guidance with spri ng-core biopsy needle is a simple, safe and accurate method for diagnosis and di fferential diagnosis of liver disease.

关 键 词：弹簧芯状活检针 CT导向 经皮肝穿刺 活检 应用 

分 类 号：R446.8[医药卫生—诊断学]