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[腹部肿瘤的介入超声——183例分析]

[Intervention ultrasound in abdominal tumors--an analysis of 183 cases].

作者信息

Ren Y F

机构信息

Fujian Cancer Hospital, Fuzhou.

出版信息

Zhonghua Zhong Liu Za Zhi. 1990 Nov;12(6):472-4.

PMID:2076649
Abstract

The results of ultrasound guided percutaneous fine needle biopsy in 183 cases of suspected abdominal space-occupying lesions are reported. The accuracy of fine needle biopsy was 84.1% (127/151) in malignant tumors and 96.6% (28/29) in benign tumors By B-ultrasonography, intratumoral injection of absolute alcohol was done in 17 cases of advanced hepatic cancer. The tumor markedly reduced in size from 12 x 12 cm to 3.5 x 3.5 cm in 1 case, reduced by half in 2 but enlarged again 1 month later, remained unchanged in 2 and progressed in the remaining patients. A 50% decrease in AFP was seen in 4 patients. Eleven cases of liver, kidney or ovarian cyst were treated by intracystic injection of absolute alcohol which led to progressive reduction even disappearance of the cyst. Intervention ultrasonography, being simple, safe, accurate and having less complications, is useful not only for diagnosis but also for treatment of diseases in the abdomen.

摘要

报告了183例疑似腹部占位性病变的超声引导下经皮细针穿刺活检结果。细针活检在恶性肿瘤中的准确率为84.1%(127/151),在良性肿瘤中的准确率为96.6%(28/29)。通过B超,对17例晚期肝癌患者进行了瘤内无水乙醇注射。1例患者肿瘤大小从12×12厘米显著缩小至3.5×3.5厘米,2例缩小一半但1个月后又增大,2例保持不变,其余患者病情进展。4例患者甲胎蛋白(AFP)下降50%。11例肝、肾或卵巢囊肿患者通过囊内注射无水乙醇治疗,囊肿逐渐缩小甚至消失。介入超声检查简单、安全、准确且并发症少,不仅对腹部疾病的诊断有用,对治疗也有用。

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