Duchmann J C, Joly J P
Service d'Hépato-Gastroentérologie, Centre Hospitalier Universitaire Nord, Amiens.
Gastroenterol Clin Biol. 1996;20(3):258-62.
Outpatient ultrasound guided liver biopsy is usually reserved for diffuse pathologies. The aim of this study was to assess the feasibility and results of 131 ultrasound guided biopsies of 128 abdominal lesions in 104 patients (69 men and 35 women, mean age: 59). Twenty four cysts were punctured (18 pancreatic cysts, 4 liver cysts and 2 unspecified abdominal cysts) and 104 solid tumors were biopsied (80 liver tumors, 9 pancreatic tumors, 5 portal vein obstructions, 4 unspecified abdominal tumors, 3 stomach tumors and 3 lymphadenopathies).
The feasability of outpatient ultrasound guided biopsy was 100%. The etiology of 22 cysts (91.6%) and the histology of 100 solid tumors (96.2%) were determined. No side effects were observed, and all patients left the hospital 6 hours after this procedure. No later hospitalisations were necessary.
This study suggests that outpatient ultrasound guided needle aspiration or biopsy of liver tumors or other abdominal tumors can be performed. Thus, this procedure could be less expensive and more acceptable, while preserving reliability and safety.
门诊超声引导下肝活检通常用于弥漫性病变。本研究的目的是评估对104例患者(69例男性和35例女性,平均年龄:59岁)的128个腹部病变进行131次超声引导活检的可行性及结果。穿刺了24个囊肿(18个胰腺囊肿、4个肝囊肿和2个未明确部位的腹部囊肿),并对104个实性肿瘤进行了活检(80个肝肿瘤、9个胰腺肿瘤、5个门静脉梗阻、4个未明确部位的腹部肿瘤、3个胃肿瘤和3个淋巴结病)。
门诊超声引导活检的可行性为100%。确定了22个囊肿(91.6%)的病因以及100个实性肿瘤(96.2%)的组织学类型。未观察到副作用,所有患者在该操作后6小时出院。无需后续住院治疗。
本研究表明,可以在门诊进行超声引导下对肝肿瘤或其他腹部肿瘤进行针吸活检。因此,该操作可能成本更低且更易被接受,同时保持可靠性和安全性。