Braun B, Dormeyer H H
Klin Wochenschr. 1981 Jun 15;59(12):707-12. doi: 10.1007/BF02593864.
Ultrasonically guided fine needle aspiration biopsy as a safe, easy and uncomplicated procedure permitted cytological diagnosis in 54 out of 57 patients (94.7%) with confirmed tumor infiltrations of the liver and in 25 out of 30 patients (83.3%) with sonographically localized space -- occupying tumor-suspect lesions of the pancreas, 22 of which were verified as pancreatic cancer by laparatomy or autopsy, 3 patients suffered from malignant lymphoma. False negative results were obtained in 1.8% and 6.7%, respectively. There was no false positive diagnosis of neoplasm. Ultrasonically guided aspiration biopsy thus appears to be an excellent method for verification of clinically or sonographically suspected hepatic or pancreatic tumors or such suspected by other procedures. 42 cysts or abscesses in pancreas and liver were punctured and drained in 8 cases, using a flexible catheter. The therapeutical management of cysts or abscesses under ultrasonic guidance may shorten hospitalization or avoid intraabdominal operation.
超声引导下细针穿刺活检是一种安全、简便且无并发症的操作，在57例经证实有肝脏肿瘤浸润的患者中，54例（94.7%）通过该操作获得了细胞学诊断；在30例超声定位有胰腺占位性可疑肿瘤病变的患者中，25例（83.3%）获得了细胞学诊断，其中22例经剖腹手术或尸检证实为胰腺癌，3例为恶性淋巴瘤。假阴性结果分别为1.8%和6.7%。未出现肿瘤的假阳性诊断。因此，超声引导下穿刺活检似乎是一种用于证实临床或超声怀疑的肝脏或胰腺肿瘤或其他检查怀疑的此类肿瘤的极佳方法。使用可弯曲导管对胰腺和肝脏中的42个囊肿或脓肿进行了穿刺，8例患者进行了引流。超声引导下囊肿或脓肿的治疗管理可缩短住院时间或避免开腹手术。
