摘要
目的比较超声引导下16G 与18 G 针活检在诊断肝脏占位性病变中的价值。方法自1998年9月至2005年9月,共有246例患者进行肝脏组织学活检。其中应用16 G 穿刺针活检141例患者(男77例,女64例,平均年龄51.2岁),应用18 G 穿刺针活检105例患者(男54例,女51例,平均年龄60.1岁)。以术后病理、典型的影像学表现和/或6个月的追踪作为最终诊断,比较两种方法的差异。结果 141例患者应用16 G 针活检,共取材171针,平均每例1.21针,敏感性95.9%,特异性100%,腹痛51例,腹腔出血3例。105例患者应用18 G 针活检,共取材161针,平均每例1.53针,敏感性83.8%,特异性100%,腹痛37例,腹腔出血2例。两组之间进针次数与敏感性比较,差异有统计学意义(P 值分别0.000,0.032)。结论与18G 针活检相比较,应用16 G 针进行肝脏活检是安全的,并且在诊断疾病方面有更高的敏感性。
Objective To compare safety and sensitivity in diagnosis of liver lesion between ultrasound-guided 16 gauges （G） and 18 G core needle biopsy. Methods Uhrasound-guided 16 G needle biopsy was performed in 141 patients, 77 males and 64e females, aged 51.2, and ultrasound-guided 18 G needle biopsy was performed in 105 patients, 54 males and 51 females, aged 60.1. The final diagnosis was based on the post-operative pathological examination and/or the results of 6-month follow-up. Results In the In the ultrasound-guided 16 G needle biopsy, 171 passes were performed with an average of 1.21 pass, a sensitivity rate of 95.9%, and a specificity rate of 100%, and abdominal pain occurred in 51 cases, and bleeding occurred in 3 cases. In the ultrasound-guided 18 G needle biopsy, 161 passes were performed with an average of 1.53 passes, a sensitivity rate of 83.8%, and a specificity rate of 100%, and abdominal pain occurred in 37 cases, and bleeding occurred in 2 cases. The number of pass of the 16 G was significantly less then that of the 128 G group （P = 0. 000）. The sensitivity rate of the 16 G needle biopsy was significantly higher than that of the 18 G group （P = 0.46）. Conclusion Ultrasound-guided 16 gauges core needle biopsy is safe for the diagnosis of hepatic disease and more sensitive than the 18 G biopsy.
出处
《中华医学杂志》
CAS
CSCD
北大核心
2007年第12期823-825,共3页
National Medical Journal of China
关键词
超声检查
介入性
活组织检查
针吸
肝肿瘤
Ultrasonography interventional
Biopsy, needle
Liver neoplasms
