Pérez Catzín F, Gutiérrez Samperio C, Valenzuela Tamariz J
Rev Gastroenterol Mex. 1979 Jul-Sep;44(3):129-34.
Biopsy of the pancreas frequently is followed by complications, this is why the transoperative aspiration biopsy has been recomended. During the last 2 years we used this procedure in 46 patients; in each case, one or several aspirations were done in the more-representative area of the pancreatic pathology. With the aspirated material a smear was fixed and treated with H-E stain. Biopsy was negative for carcinoma in 30 patients (65.2%), positive in 12 (26.0%), insuficient material results in other 4 (8.6%) we consider that the procedure was useful in the 82.6% of the cases and help to elect more adecuate surgical tecnic. There were no complications and we concluded that this is not a harmful procedure. The correct interpretation of the citology depends on the experience of the pathologyst with this method, to increase the percentage of correct diagnosis.
胰腺活检常常会引发并发症,这就是为何有人推荐术中穿刺活检。在过去两年里,我们对46例患者采用了此方法;在每例患者中,均在胰腺病变的更具代表性区域进行了一次或多次穿刺。用吸出的材料制作涂片,固定后用苏木精-伊红染色。30例患者(65.2%)活检结果为癌阴性,12例(26.0%)为阳性,另外4例(8.6%)因材料不足未得出结果。我们认为该方法在82.6%的病例中是有用的,有助于选择更合适的手术技术。未出现并发症,我们得出结论,该方法并无危害。细胞病理学的正确解读取决于病理学家使用此方法的经验,以提高正确诊断的百分比。