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[超声引导下腹部器官细针穿刺:适应证、结果、风险]

[Ultrasound-guided fine needle puncture of the abdominal organs: indications, results, risks].

作者信息

Gebel M, Horstkotte H, Köster C, Brunkhorst R, Brandt M, Atay Z

出版信息

Ultraschall Med. 1986 Oct;7(5):198-202. doi: 10.1055/s-2007-1011948.

Abstract

2072 patients underwent ultrasonically guided fine-needle biopsy. 1384 patients could be assessed with regard to the final diagnosis. 854 patients underwent fine-needle biopsy of the liver, 322 of the pancreas and 218 of retroperitoneal lesions. The effective sampling rate was 97% for liver biopsies, 86% for pancreas biopsies and 87% for the biopsy of the retroperitoneum. The sensitivity for the detection of malignancies was 90% in liver biopsies, 69% in pancreatic biopsies and 85% in biopsies of the retroperitoneum. The specificity of cytological findings was 100%. Complications occurred in 13 cases. There were two fatalities due to of bleeding, resulting in a complication rate of 0.6% and a lethality of 0.1% of all biopsied patients. The biopsy of the liver proved most dangerous with a complication rate of 1.4%. The bleeding risk of a haemangioma (2.5%) was nearly the same as the bleeding risk of a malignant liver tumour (1.5%).

摘要

2072例患者接受了超声引导下细针穿刺活检。1384例患者可根据最终诊断进行评估。854例患者接受了肝脏细针穿刺活检,322例接受了胰腺细针穿刺活检,218例接受了腹膜后病变细针穿刺活检。肝脏活检的有效采样率为97%,胰腺活检为86%,腹膜后活检为87%。肝脏活检检测恶性肿瘤的敏感性为90%,胰腺活检为69%,腹膜后活检为85%。细胞学检查结果的特异性为100%。13例出现并发症。2例因出血死亡,并发症发生率为0.6%,在所有接受活检的患者中致死率为0.1%。肝脏活检被证明是最危险的,并发症发生率为1.4%。血管瘤的出血风险(2.5%)与恶性肝肿瘤的出血风险(1.5%)几乎相同。

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