导向穿刺对腹腔肿块的诊断及治疗价值的初步探讨

导向穿刺是近几年来开展的一项新技术。笔者利用B超导向穿刺抽吸组织成份诊断腹腔肿块。一次穿刺确诊率达97.2％。特别是利用肝素化后的空针抽吸,既得到细胞学的结果,又得到组织学的结果,使诊断的准确性和可靠性大为提高。本组中有42例经手术证实,其结果与术前穿刺结果完全相符合。笔者还利用B超导向对部份患者进行了介入性治疗,取得了良好的临床效果。其优点是提高了局部药物的浓度,增强了疗效。同时也减轻了全身用药的副作用。

A PRELIMINARY APPROACH TO THE DIAGNOSTIC AND THERAPEUTIC VALUE OF ULTRASONICALLY GUIDED ASPIRATION OF ABDOMINAL MASSES

Ultrasortically guided fine-needle aspiration biopsies were performed in diagnosis of addominal masses, the correct diagnosis rate with a single aspiration was 97.2％. The authors emphasized the use of heparinized needles ia FNAB that increased greatly and reliadility in diagnosis. The results of the 42 cases in this series were confirmed by operation. Interventioional treatment by us-guided centesis was also performed in some cases with good clinical result. The benefits were increased local drug concentration, and minimized side effets of drugs when used systemicly.