西南国防医药2012，Vol.22Issue(10)：1059-1060,2.DOI:10.3969/j.issn.1004-0188.2012.10.006
超声引导下穿刺活检对肝内实性占位病变的诊断价值
Value of ultrasound-guided biopsy in diagnosis of intrahepatic solid occupying lesion
张英华 1钱智玲 1王海燕 1何敏2
作者信息
- 1. 100069北京,首都医科大学附属北京佑安医院
- 2. 解放军96656部队
- 折叠
摘要
Abstract
Objective To discuss the value of ultrasound - guided fine needle aspiration biopsy (US - FNA) in the diagnosis of intrahepatic solid small occupying lesion. Methods US - FNA was carried out in 36 cases of intrahepatic solid small nodule with the diameter less than 3. 0 cm which could not be determined by conventional ultrasound or CT examination. The tissues obtained were pathologically examined. Those patients diagnosed qualitatively as benign lesion received the regular follow - up by ultrasound or CT examination. Results The successful rate of sampling was 100% and 34 cases were successful sampling at one time (94.4%). Biopsy was performed 38 times. The diagnostic accuracy was 97. 2% and the false negative rate was 2. 8%, There were 24 cases diagnosed as primary hepatocellular carcinoma, 3 ones as hepatic metastasic carcinoma, 3 ones as hepatic hemangioma, 2 ones as liver cirrhotic nodule, 3 ones as liver abscess, and 1 as hepatic carcinoid. In one case, the first - time pathological result showed he was of non - malignant lesion. But the reexamination after 1 month showed the increment of the intrahepatic nodule, and he was finally diagnosed as primary hepatocellular carcinoma by US - FNA. Needle tract implantation occurred in one case. No other severe complication occurred in these patients. Conclusion US - FNA is an accurate, fast, minimally invasive, and economical method for the diagnosis of intrahepatic solid small occupying lesion.关键词
肝肿瘤/占位病变/诊断/活检/超声Key words
liver tumor/ occupying lesion/ diagnosis/ biopsy/ ultrasound分类
医药卫生引用本文复制引用
张英华,钱智玲,王海燕,何敏..超声引导下穿刺活检对肝内实性占位病变的诊断价值[J].西南国防医药,2012,22(10):1059-1060,2.
