Dupont T, Beaugrand M, Ferrier J P
Nouv Presse Med. 1981 Jan 17;10(2):101-2.
Liver aspiration biopsies performed with a new disposable instrument (Hepafix) were compared with biopsies performed with the conventional Menghini's needle in 74 patients. The diameter of the needle was the same in both groups, being either 1,4 or 1,6 mm depending upon the case. Twenty-seven of the 39 patients (69,2%) biopsied with the new instrument experienced no pain during puncture, as opposed to only 9 of the 35 patients (25,7%) biopsied with the standard needle. In non-cirrhotic patients, tissue fragments were longer with Hepafix (mean, 40 mm) than with Menghini's needle (mean, 25 mm). The authors' preference goes to Hepafix because it is less painful, responsibly cheap and carries no risk of viral contamination.
使用一种新型一次性器械(肝穿刺固定针)对74例患者进行肝脏穿刺活检,并与使用传统Menghini针进行的活检进行比较。两组针的直径相同,根据具体情况为1.4或1.6毫米。使用新型器械进行活检的39例患者中有27例(69.2%)在穿刺过程中无疼痛,而使用标准针进行活检的35例患者中只有9例(25.7%)无疼痛。在非肝硬化患者中,肝穿刺固定针获取的组织碎片更长(平均40毫米),而Menghini针获取的组织碎片平均为25毫米。作者更倾向于肝穿刺固定针,因为它疼痛较轻、价格合理且无病毒污染风险。