中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
10期
141-143,144
,共4页
肝脏占位病变%超声引导下经皮肝脏穿刺活检术%诊疗效果
肝髒佔位病變%超聲引導下經皮肝髒穿刺活檢術%診療效果
간장점위병변%초성인도하경피간장천자활검술%진료효과
Liver placeholder lesions%Ultrasound guided percutaneous liver biopsy%Diagnosis and treatment effect
目的：研究分析肝脏占位病变采用超声引导下经皮肝脏穿刺活检术的临床诊疗效果。方法：选取2013年4月-2014年8月来本院会诊的80例肝脏占位病变患者，分别对患者进行3次诊断，分别为CT检验、常规超声检验以及超声引导下经皮肝脏穿刺活检术检验，比较3次诊断的病变类型所占比例，临床诊断的敏感性、特异性以及准确性。结果：经超声引导下经皮肝脏穿刺活检术病理学检验结果为原发性肝癌22例，占2.75%，慢性乙型肝炎18例，占2.25%；肝硬化16例，占20.00%；肝细胞肝癌8例，占10.00%；非酒精性脂肪肝7例，占8.75%；转移癌5例，占6.25%；慢性肝炎2例，占2.50%；酒精性肝病1例，占1.25%；增生结节1例，占1.25%。超声引导下经皮肝脏穿刺活检术检验的敏感性81.25%，特异性85.00%，准确性92.50%，显著高于常规的超声检验，比较差异具统计学意义（P<0.05）。结论：超声引导下经皮肝脏穿刺活检术是临床上一种安全、有效应用于肝脏占位病变的诊断手段，可以提高诊断的准确性，早期诊断有利于患者的治疗和预后。
目的：研究分析肝髒佔位病變採用超聲引導下經皮肝髒穿刺活檢術的臨床診療效果。方法：選取2013年4月-2014年8月來本院會診的80例肝髒佔位病變患者，分彆對患者進行3次診斷，分彆為CT檢驗、常規超聲檢驗以及超聲引導下經皮肝髒穿刺活檢術檢驗，比較3次診斷的病變類型所佔比例，臨床診斷的敏感性、特異性以及準確性。結果：經超聲引導下經皮肝髒穿刺活檢術病理學檢驗結果為原髮性肝癌22例，佔2.75%，慢性乙型肝炎18例，佔2.25%；肝硬化16例，佔20.00%；肝細胞肝癌8例，佔10.00%；非酒精性脂肪肝7例，佔8.75%；轉移癌5例，佔6.25%；慢性肝炎2例，佔2.50%；酒精性肝病1例，佔1.25%；增生結節1例，佔1.25%。超聲引導下經皮肝髒穿刺活檢術檢驗的敏感性81.25%，特異性85.00%，準確性92.50%，顯著高于常規的超聲檢驗，比較差異具統計學意義（P<0.05）。結論：超聲引導下經皮肝髒穿刺活檢術是臨床上一種安全、有效應用于肝髒佔位病變的診斷手段，可以提高診斷的準確性，早期診斷有利于患者的治療和預後。
목적：연구분석간장점위병변채용초성인도하경피간장천자활검술적림상진료효과。방법：선취2013년4월-2014년8월래본원회진적80례간장점위병변환자，분별대환자진행3차진단，분별위CT검험、상규초성검험이급초성인도하경피간장천자활검술검험，비교3차진단적병변류형소점비례，림상진단적민감성、특이성이급준학성。결과：경초성인도하경피간장천자활검술병이학검험결과위원발성간암22례，점2.75%，만성을형간염18례，점2.25%；간경화16례，점20.00%；간세포간암8례，점10.00%；비주정성지방간7례，점8.75%；전이암5례，점6.25%；만성간염2례，점2.50%；주정성간병1례，점1.25%；증생결절1례，점1.25%。초성인도하경피간장천자활검술검험적민감성81.25%，특이성85.00%，준학성92.50%，현저고우상규적초성검험，비교차이구통계학의의（P<0.05）。결론：초성인도하경피간장천자활검술시림상상일충안전、유효응용우간장점위병변적진단수단，가이제고진단적준학성，조기진단유리우환자적치료화예후。
Objective:To research and analyze the effect of liver placeholder lesions in clinical diagnosis and treatment using Percutaneous liver biopsy under the guide of ultrasound.Method:80 cases with liver occupying lesions in the hospital were selected from April 2013 to August 2014, with CT inspection respectively, conventional ultrasonic testing and ultrasonic guided percutaneous liver biopsy examination, and the proportion of three type diagnosis of lesions was compared.The sensitivity, specificity and accuracy of clinical diagnosis were compared.Result:The results of percutaneous liver biopsy pathology inspection under the guide of ultrasound was 22 cases (2.75%), 18 cases of chronic hepatitis B (2.25%), 16 cases of cirrhosis (20.00%); 8 cases of hepatocellular carcinoma (10.00%); 7 cases of non alcoholic fatty liver (8.75%); 5 metastases cases (6.25%); 2 cases of chronic hepatitis (2.50%); 1 case of alcoholic liver disease (1.25%); 1 case of nodular hyperplasia (1.25%).Test sensitivity of ultrasound guided percutaneous liver biopsy was 81.25%, 85.00% of specificity, 92.50% of accuracy was significantly higher than those of conventional ultrasonic inspection, and the difference was statistical significant (P<0.05).Conclusion:Ultrasound guided percutaneous liver puncture biopsy is a safe and effective clinical application in liver occupying lesions diagnosis means, which can improve the accuracy of diagnosis, early diagnosis is advantageous to the treatment and prognosis of patients.
