CAJ | 학술논문

目的：探讨 CT 引导下经皮穿刺活检对胰腺癌的诊断价值。方法2012年1月至2013年11月共对20例胰腺癌患者行 CT 引导下胰腺原发灶或肝脏转移灶穿刺活检术，分析穿刺活检的敏感性及临床价值。结果所有病例一次穿刺成功率100%。20例（23次）中穿刺诊断恶性病变18例，敏感性90.0%（18/20）。无严重并发症发生。结论 CT 引导下经皮穿刺活检对不可手术切除的胰腺癌诊断价值高，且安全可靠。
목적：탐토 CT 인도하경피천자활검대이선암적진단개치。방법2012년1월지2013년11월공대20례이선암환자행 CT 인도하이선원발조혹간장전이조천자활검술，분석천자활검적민감성급림상개치。결과소유병례일차천자성공솔100%。20례（23차）중천자진단악성병변18례，민감성90.0%（18/20）。무엄중병발증발생。결론 CT 인도하경피천자활검대불가수술절제적이선암진단개치고，차안전가고。
Objective To explore the value of CT-guided percutaneous puncture biopsy on patients with pancreas cancer. Methods 20 patients with pancreas cancer were performed percutaneous puncture biopsies 23 times under CT guidance. The biopsies were performed in pancreatic tumors or metastatic liver tumors. The sensitivity and clinical value were analyzed in all cases. Results The successful rate of puncture was 100% . 18 patients were diagnosed as malignant by puncture biopsy(90. 0% ). No serious complication occurred in all biopsies. Conclusions CT-guided percutaneous pancreatic biopsy is an effective and safe modality for confir-ming the pathologic diagnosis on patients with unresectable pancreatic cancer. So it is worth of promotion.