CAJ | 학술논문

目的：：探讨肝脏穿剌活检在临床应用上是否值得推广。方法：在B超和CT引导下经皮行肝脏穿剌活检，所取得的活检组织经常规固定、制片、HE染色、光镜阅片，再结合临床和实验室检查，并参照全国病毒性肝炎防治方案为临床提供诊断依据。结果：74例中病理诊断表明慢性病毒性肝炎21例，均为慢活肝和（或）慢迁肝；肝硬化22例；肝炎性假瘤11例；肝癌15例；肝血管瘤2例；肝囊肿2例；肝腺瘤1例。结论：在B超和CT引导下经皮行肝脏穿剌活检方便，安全、病人痛苦小，所获得经病理组织学诊断可为临床诊断和治疗提供可靠依据，无明显副作用，值得推广。
목적：：탐토간장천랄활검재림상응용상시부치득추엄。방법：재B초화CT인도하경피행간장천랄활검，소취득적활검조직경상규고정、제편、HE염색、광경열편，재결합림상화실험실검사，병삼조전국병독성간염방치방안위림상제공진단의거。결과：74례중병리진단표명만성병독성간염21례，균위만활간화（혹）만천간；간경화22례；간염성가류11례；간암15례；간혈관류2례；간낭종2례；간선류1례。결론：재B초화CT인도하경피행간장천랄활검방편，안전、병인통고소，소획득경병리조직학진단가위림상진단화치료제공가고의거，무명현부작용，치득추엄。
Objective: To discuss whether liver biopsy is worthy of clinical application. Methods:Under type-B ultrasonic and CT inspection, liver biopsy was undertaken, the obtained organism was inspected in combination with clinical and laboratory check after regular fixing, production, HE coloring, and light reading, which serves as basis for clinical diagnosis with reference to plan for prevention and treatment of viral hepatitis. Results:Among 74 cases, pathology diagnosis indicates that 21 are chronic virus hepatitis with chronic active hepatitis and/or chronic persistent hepatitis;22 cases are cirrhosis;11 Inflammatory pseudotumor of the liver;15 liver cancer;2 hepatic hemangioma;2 hepatic cyst. Conclusion:it is convenient and secure to undertake liver biopsy under type-B ultrasonic and CT, less pain on the part of the patients. Obtained results can serve as reliable basis for clinical diagnosis and treatment, with-out side effects, worthy of popularization.