摘要
目的 :为了评价 B超引导下细针穿刺活检 (FNAB)对肝占位性病变的诊断价值和预防针道种植的方法。方法 :对 387例 AFP阴性肝占位性病变行 FNAB ,并采用无水酒精针道封闭的方法预防针道种植。结果 :FNAB的病理和细胞学诊断敏感性分别为 80 .9%和 71.1% ,两者结合 ,诊断敏感性为 92 .5 % ,诊断特异性为 10 0 %。 FNAB后的针道种植转移率为零。结论 :FNAB可作为诊断肝占位性病变的确诊技术 ,无水酒精针道封闭可达到预防针道种植的目的。
Objective:In order to assess the value of sonographically guided fine needle aspiration biopsy (FNAB) in diagnosis of occuping lesions in liver and the method for preventing seeding following FNAB Methods:Sonographically guided FNABs were given to 387 patients with AFP negative occuping lesions in liver,and a method for preventing seeding of malignant tumor cells by using ethanol injection along the needle track of FNAB was taken for all these cases Results:387 patients with AFP negative occuping lesions in liver received FNAB;the diagnostic sensitivity rate of histology and cytology were 80 9% and 71 1% respectively.with combination of both,the diagnostic sensitivity rate was 92 5%,and specificity was 100% The rate of needle track tumor seeding after FNAB was 0% in this group Conclusions:Sonographically guided FNABs is a technique for obtaining a definitive diagnosis in patients with occuping lesions Ethanol injection along the needle track can achieve the goal of preventing needle track tumor seeding after FNAB
出处
《广西医科大学学报》
CAS
2000年第4期570-572,共3页
Journal of Guangxi Medical University
关键词
肝占位性病变
细针穿刺活检
B超引导
AFP
occuping lesions in liver
Fine-needle aspiration biopsy
needle track tumor seeding
