B超引导下肝脏病变穿刺活检术的临床价值

目的探讨B超引导下肝脏病变穿刺活检术的临床价值。方法采用PHILIPS-HD11超声仪、3.5MHz高频探头、Bard活检枪及直径18G一次性活检针,对48例肝脏病变患者行经皮肝脏穿刺活检,穿刺组织进行病理学检查。结果 48例患者均穿刺成功。其中良性病变20例,占41.7%,肝血管瘤1例,慢性乙型肝炎8例,脂肪肝3例,肝硬化结节6例,原发性胆汁性肝硬化1例,自身免疫性肝炎1例;恶性病变28例,占58%,其中肝癌10例,肝转移瘤16例,胆管癌2例。结论超声引导下经皮肝脏穿刺活检能确定肝脏病变的病理性质,是肝脏病变诊断和鉴别诊断的一种安全而又准确的方法,具有独特的优势与良好的诊断应用价值。

Clinical Value of Ultrasound-guided Puncture Biopsy for Liver Disease

Objective To assess the clinical application of ultrasound-guided puncture biopsy for liver disease. Methods Takes a PHILIPS-HD1 1 high-frequency probe B ultrasound, 3.5MHz, Bard biopsy gun to puncture and biopsy for liver, Sui-table puncture points twere determined under ultrasound scanning, a biopsy was performed in 48 cases with liver diseases with 18 G biopsy needle, the puncture issues of pathological examination.. Results 48 cases patients with puncture were successful, of which,benign lesions were found in 20 patients,including hemangiomas（1）, chronic hepatitis（8）,fatty liver（3）,hepatic cirrhosis（6）,primary biliary cirrhosis（1） and auto immune hepatitis（1）;and malignancy was confirmed in 28 cases,they were hepatoma（10）,hepatic metastasis（16）, cholangiocarcinoma（2）.There was no serious complications. Conclusion Ultrasound-guided percutaneous liver biopsy can determine the nature of pathology of liver damage,it is safe and accurate for diagnosis and differential diagnosis of liver diseases,which has a distinct superiority and favorably diagnostic value.