Geroni P L, Caffi Avogadri G M, Costardi F
Divisione di Chirurgia, USSL n. 33, Romano di Lombardia, Bergamo.
Minerva Chir. 1990 Oct 31;45(20):1299-302.
The paper reports the results of 68 ultrasonically-guided fine needle aspirations of the liver. Histological confirmation was carried out in 24 cases and in 2 of these there was discrepancy with regard to the type of malignant neoplasia (hepatocarcinoma versus metastasis following adenocarcinoma). Following a discussion of the advantages and disadvantages of ultrasonically-guided fine needle aspiration of hepatic lesions in comparison to other techniques, including CT, RNM, angiography, laparoscopy and scintigraphy, the specificity, sensitivity and diagnostic accuracy of the method are determined. Particular emphasis is placed on the ease of performance, the possibility of reaching concealed targets, the limited nature of complications and the reduced cost. The Authors conclude that this technique should be preferentially used in the diagnosis of nodular hepatic lesions.
本文报告了68例肝脏超声引导下细针穿刺抽吸的结果。对其中24例进行了组织学确诊，其中2例在恶性肿瘤类型（肝细胞癌与腺癌转移）方面存在差异。在讨论了与其他技术（包括CT、放射性核素显像、血管造影、腹腔镜检查和闪烁扫描）相比，肝脏病变超声引导下细针穿刺抽吸的优缺点之后，确定了该方法的特异性、敏感性和诊断准确性。特别强调了操作的简便性、到达隐匿靶点的可能性、并发症的局限性以及成本的降低。作者得出结论，该技术应优先用于结节性肝脏病变的诊断。
