CAJ | 학술논문

目的探讨CT引导下经皮胰腺肿物穿刺的诊断价值和安全性.方法 17例经影像学检查发现胰腺肿物的患者行CT引导下胰腺肿物穿刺活检术,术后送检病理检查,部分患者再次穿刺.结果 17例患者中,14例取得阳性病理结果(阳性率82.35％),其中胰腺癌8例,淋巴瘤3例,慢性胰腺炎2例,恶性间质瘤1例.结论 CT引导下胰腺肿物经皮穿刺活检术是一种重要、微创的影像及病理学诊断技术.只要术前评估准备充分、方法得当,该操作的安全性较好,应在临床推广.
목적 탐토CT인도하경피이선종물천자적진단개치화안전성.방법 17례경영상학검사발현이선종물적환자행CT인도하이선종물천자활검술,술후송검병리검사,부분환자재차천자.결과 17례환자중,14례취득양성병리결과(양성솔82.35％),기중이선암8례,림파류3례,만성이선염2례,악성간질류1례.결론 CT인도하이선종물경피천자활검술시일충중요、미창적영상급병이학진단기술.지요술전평고준비충분、방법득당,해조작적안전성교호,응재림상추엄.
Objective To explore the diagnostic value and security of percutaneous puncture biopsy on pancreas mass under CT guidance.Methods Seventeen patients who were found pancreas mass by imaging tests were treated with percutaneous puncture biopsy under CT guidance.And then pathological examinations of the tissue were carried out.Some patients were punctured more than one time.Results Among the total 17 patients,14 patients achieved positive pathological results (positive rate 82.35％).Results diagnosed 8 cases of pancreatic cancers,3 cases of lymphoma,2 cases of chronic pancreatitis and one case of malignant stroma tumor.Conclusion It's an important and minimal invasive technique of percutaneous puncture biopsy on pancreas mass under CT guidance.And it should be promoted in clinic because of its good security,however,adequate preoperative evaluation and preparation is necessary.