摘要
目的 探索PTC胆道活检的可行性和敏感性 ,指导临床治疗。方法 2 6例阻塞性黄疸 ,在行PTCD(经皮肝穿刺胆道内外引流术 )减黄术中 ,进行PTC胆道活检。此技术通过经皮经肝穿刺通道送入 8F鞘 ,将活检钳经鞘内送入并对病变狭窄段行胆道活检 ,获取多个标本 ,然后行组织病理学检查。结果 2 6例中有 2 4例获得组织病理学诊断 (敏感性 92 .3 1% )。病理报告为胆管腺癌 15例 ,胆管鳞癌 1例 ,胰腺癌 2例 ,肝癌 2例 ,胃腺癌胆总管转移 1例 ,硬化性胆管炎 1例 ,胆管慢性炎症 1例 ,胆管结石 1例 ,阴性结果 2例 ,阳性结果率为 92 .3 1%。结论 PTC下胆道活检是一种简单易行。
ObjectiveTo explore the technical feasibi lity an d sensitivity of percutaneous transhepatic cholangiobiopsy in malignant obstruct ive jaundice,and guide the clinical treatment.Methods26 patients with malignant obstructive jaundice who were treated by percutaneous transhepatic cholangiograph and drainage were accepted percutaneous transhepatic cholangiobiopsy,the technique was performed through an existing percutaneous transhepatic tract,multiple specimens were obtained afte r passing the forceps biopsy through a long 8-french sheath and the specimens we re fixed with formalin,and then for histopathologic diagnosis.Results The histopathologic diagnosis was acquired in 24 of 26 pati ents(sensitivity,92.31%).Pathologic reports included 15 cholangioadenocarcinomas , 1 cholangiosquamocarcinoma, 2 pancreatic adenocarcinomas hepatoma with common bile duct invasion, 1 stomachoadenocarcinoma with common bile duct metastasis, 1 biliary chronic inflammation, 1 biliary stone. ConclusionPercutaneous transhepatic cholangiobiopsy is an accurate and reliable way which is safe and easy to perform to acquire histopat hologic diagnosis.
出处
《胃肠病学和肝病学杂志》
CAS
2003年第5期470-472,共3页
Chinese Journal of Gastroenterology and Hepatology
关键词
经皮肝穿刺胆道造影术
胆道活组织检查
诊断
阻塞性黄疸
组织病理学
Bile-duct neoplasm
Percutaneous transhepatic cholangiography
Obstructive jaundice
Bile-duct biopsy
Histopath ology
