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[胆囊手术中仍需进行肝活检吗?]

[Is liver biopsy in gallbladder operations still indicated?].

作者信息

Mayer M, Ritter S, Simon U, Buchholz J

机构信息

Chirurgische Universitätsklinik, Ruhr-Universität Bochum im Marienhospital Herne.

出版信息

Chirurg. 1990 Aug;61(8):592-4.

PMID:2226029
Abstract

Biopsy of the liver with the Tru-cut needle was done as a routine diagnostic procedure during gallbladder surgery in 166 cases. The data of history, ultrasonography and laboratory were compared with the microscopic liver findings. Preoperatively in 89% of the cases there was an indication for liver biopsy. In 11% of the cases, where there was no indication for preoperative biopsy, we found severe changes in liver histology. Therefore we recommend liver biopsy during gallbladder surgery as a routine procedure.

摘要

在166例胆囊手术中,采用Tru-cut针经皮肝穿刺活检作为常规诊断方法。将病史、超声检查及实验室检查数据与肝脏组织学微观检查结果进行比较。术前89%的病例有肝活检指征。在11%术前无活检指征的病例中,我们发现肝脏组织学有严重改变。因此,我们建议在胆囊手术时将肝活检作为常规操作。

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