[1]杜 丽,王 剑,邓 莉,等.不同肝段超声引导下穿刺活检的临床分析[J].医学信息,2019,32(02):177-179.[doi:10.3969/j.issn.1006-1959.2019.02.055]
　DU Li,WANG Jian,DENG Li,et al.Clinical Analysis of Ultrasound-guided Needle Biopsy in Different Liver Segments[J].Journal of Medical Information,2019,32(02):177-179.[doi:10.3969/j.issn.1006-1959.2019.02.055]
点击复制

不同肝段超声引导下穿刺活检的临床分析()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年02期
页码:
177-179
栏目:
诊疗技术
出版日期:
2019-01-15

文章信息/Info

Title:
Clinical Analysis of Ultrasound-guided Needle Biopsy in Different Liver Segments
文章编号:
1006-1959（2019）02-0177-03
作者:
杜 丽1; 王 剑2; 邓 莉3; 杜哲明4
1.鄱阳县人民医院B超室，江西 鄱阳 333100；2.鄱阳县人民医院电诊室，江西 鄱阳 333100；3.南昌市第三医院医务科，江西 南昌 330006；4.武警江西总队保障部医院普外科，江西 南昌 330006
Author(s):
DU Li1; WANG Jian2; DENG Li3; DU Zhe-ming4
1.B Ultrasonic Room,Poyang County People's Hospital,Poyang 333100,Jiangxi,China;2.Electric Diagnostics Office of Poyang People's Hospital,Poyang 333100,Jiangxi,China;3.Department of Medical Services,the Third Hospital of Nanchang,Nanchang 330006,Jiangxi,China;4.Department of General Surgery,Ministry of Education,Jiangxi Armed Police Force,Nanchang 330006,Jiangxi,China
关键词:
不同肝段; 多普勒超声; 穿刺活检
Keywords:
Different liver segments; Doppler ultrasound; Needle biopsy
分类号:
R445.1
DOI:
10.3969/j.issn.1006-1959.2019.02.055
文献标志码:
B
摘要:
目的 总结不同肝段超声引导下穿刺活检的经验及体会。方法 回顾性分析我院于2015年3月~2018年7月收治入院肝脏疾病患者60例，分析不同肝段疾病在超声引导下穿刺活检术临床资料，总结超声引导下穿刺活检术在提高肝脏疾病诊断的临床价值及病理取材操作准确性的心得。结果 本组共60例病例，其中Ⅱ段16例、Ⅲ段8例、Ⅳ段4例、Ⅴ段5例、Ⅵ段7例、Ⅶ段9例、Ⅷ段11例，出现1例并发症（出血）。60例病例中弥漫性病变28例：其中肝硬化11例、肝炎17例；良性病变18例：其中血管瘤13例、肝脓肿5例；恶性肿瘤14例
Abstract:
Objective To summarize the experience and experience of ultrasound-guided needle biopsy in different liver segments. Methods Retrospective analysis of 60 patients with liver disease admitted to our hospital from March 2015 to July 2018, analysis of clinical data of ultrasound-guided biopsy under different ultrasound-guided biopsy, and summary of ultrasound-guided biopsy to improve liver disease The clinical value of the diagnosis and the accuracy of the pathological operation accuracy. Results There were 60 cases in this group, including 16 cases of stage Ⅱ, 8 cases of stage Ⅲ, 4 cases of stage Ⅳ, 5 cases of Ⅴ, 7 cases of Ⅵ, 9 cases of Ⅶ, 11 cases of Ⅷ, and 1 case of complications(bleeding). There were 28 cases of diffuse lesions in 60 cases: 11 cases of cirrhosis and 17 cases of hepatitis; 18 cases of benign lesions: 13 cases of hemangiomas, 5 cases of hepatic abscess; 14 cases of malignant tumors: 9 cases of hepatocellular carcinoma,there were 3 cases of cholangiocarcinoma and 2 cases of metastatic liver cancer. Conclusion Ultrasound-guided liver biopsy has high safety and is an important auxiliary method for the diagnosis of liver diseases. The biopsy of different liver segments depends on the good guidance of ultrasound.

参考文献/References:

[1]范应方,蔡伟,方驰华.肝脏分段解剖及其研究进展[J].中国实用外科杂志,2014,34(11):1105-1108.
[2]Bismuth H.Revisiting liver anatomy and terminology of hepatec-tomies[J].Ann Sing,2013,257(3):383-386.
[3]刘薇.彩色多普勒对肝脏原发与转移癌的诊断价值[J].江西医药,2012,47(2):97-98.
[4]丁千,于胜波,迟彦艳,等.肝左内叶及右前叶肝段超声解剖[J].解剖学杂志,2016,39(3):343-346.
[5]翟博,李晓燕,刘晟,等.膈顶部原发性肝癌的射频消融[J].介入放射学杂志,2009,18(5):357-361.
[6]吴薇,李荣杰,杨薇,等.经皮射频消融治疗邻近膈顶较大肝癌[J].中国介入影像与治疗学,2018,15(1):15-18.
[7]罗志强,邵江华,邬林泉,等.腹腔镜下射频消融术治疗原发性肝癌18例报道[J].江西医药,2012,47(11):972-974.
[8]岳皎芳,李仁让,张鹏,等.超声引导下经皮肝穿刺活检233例的临床分析[J].中国药物与临床,2013,13(5):639-641.
[9]刘军,张之美,王克锋,等.超声引导下经皮肝穿刺活检812例体会[J].山东医药,2014,54(46):107.
[10]董家鸿,杨世忠.现代科技在精准肝切除中的综合应用[J].肝胆外科杂志,2010,18(1):57-59.

相似文献/References:

[1]颜 明,龚丽娜,王淑清.彩超在高血压患者肾动脉血流动力学检测中的应用分析[J].医学信息,2018,31(02):156.[doi:10.3969/j.issn.1006-1959.2018.02.060]
　YAN Ming,GONG Li-na,WANG Shu-qing.Application of Color Doppler Ultrasound in the Measurement of Renal Artery Hemodynamics in Patients with Hypertension[J].Journal of Medical Information,2018,31(02):156.[doi:10.3969/j.issn.1006-1959.2018.02.060]
[2]杜 丽,王 剑,邓 莉,等.膈顶部肝脏病灶经多普勒超声引导下穿刺活检临床观察[J].医学信息,2018,31(23):188.[doi:10.3969/j.issn.1006-1959.2018.23.056]
　DU Li,WANG Jian,DENG Li,et al.Clinical Experience of Puncture Biopsy Guided by Doppler Ultrasound in the Liver Lesions at the Top of the Diaphragm[J].Journal of Medical Information,2018,31(02):188.[doi:10.3969/j.issn.1006-1959.2018.23.056]
[3]李爱丽,赵中亭,张学梅,等.多普勒超声在RA早期小关节损伤中的应用[J].医学信息,2022,35(01):39.[doi:10.3969/j.issn.1006-1959.2022.01.009]
　LI Ai-li,ZHAO Zhong-ting,ZHANG Xue-mei,et al.Application of Doppler Ultrasonography in Early Facet Joint Injury of RA[J].Journal of Medical Information,2022,35(02):39.[doi:10.3969/j.issn.1006-1959.2022.01.009]

更新日期/Last Update: 2019-02-15