[1]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):188-189.[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(23):188-189.[doi:10.3969/j.issn.1006-1959.2018.23.056]
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膈顶部肝脏病灶经多普勒超声引导下穿刺活检临床观察()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年23期
页码:
188-189
栏目:
出版日期:
2018-12-01

文章信息/Info

Title:
Clinical Experience of Puncture Biopsy Guided by Doppler Ultrasound in the Liver Lesions at the Top of the Diaphragm
文章编号:
1006-1959（2018）23-0188-02
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 Chamber,Poyang County People's Hospital,Poyang 333100,Jiangxi,China;2.Electric Diagnosis Room of Poyang County People's Hospital,Poyang 333100,Jiangxi,China;3.Medical Department of the Third Hospital of Nanchang City,Nanchang 330009,Jiangxi,China;4.Department of General Surgery,Jiangxi General Security Hospital,Armed Police Corps,Nanchang 330006,Jiangxi,China
关键词:
膈顶部; 肝脏病灶; 多普勒超声; 穿刺活检
Keywords:
Top of diaphragm; Liver focus; Doppler ultrasound; Biopsy
分类号:
R445.1
DOI:
10.3969/j.issn.1006-1959.2018.23.056
文献标志码:
B
摘要:
总结膈顶部肝脏病灶经多普勒超声引导下穿刺活检的经验。方法 定量随机抽样选取我院于2015年3月~2018年7月收治的膈顶部肝脏疾病患者34例，分析膈顶部肝脏病灶超声引导下穿刺活检术临床资料，总结超声引导下对提高肝膈顶部疾病诊断的临床价值及穿刺过程中病理取材操作的个人心得。结果 弥漫性病变13例，其中肝硬化6例，肝炎7例；良性病变14例，其中血管瘤9例，肝脓肿5例；恶性肿瘤7例，其中肝细胞癌5例，转移性肝癌2例。34例活检均在超声引导下导向明确，无副损伤，穿刺成功率高，病理均成功获取，为临床提供了良好的诊断依据。结论 超声引导下对肝膈顶部病灶穿刺活检是安全可行的，很大程度上提高了肝膈顶部疾病的临床诊断。
Abstract:
Objective To sum up the experience of puncture biopsy guided by doppler ultrasound in the liver lesion at the top of the diaphragm.Methods Quantitative random sampling was performed in 34 patients with sacral hepatic disease admitted to our hospital from March 2015 to July 2018. The clinical data of ultrasound-guided biopsy under the guidance of the sacral hepatic lesion were analyzed. The clinical value of the diagnosis and the personal experience of the pathological operation during the puncture. Results 13 cases of diffuse lesions, including 6 cases of cirrhosis, 7 cases of hepatitis; 14 cases of benign lesions, including 9 cases of hemangiomas, 5 cases of liver abscess; 7 cases of malignant tumors, including 5 cases of hepatocellular carcinoma and 2 cases of metastatic liver cancer. All 34 biopsies were guided by ultrasound guidance, no secondary injury, high puncture success rate, and successful pathology, which provided a good diagnostic basis for clinical practice. Conclusion Ultrasound-guided biopsy of the top of the liver is safe and feasible, which greatly improves the clinical diagnosis of the disease of the liver.

参考文献/References:

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更新日期/Last Update: 2018-12-17