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超声引导活检诊断肝脏炎性占位病变的价值分析

Diagnosis of inflammatory occupied diseases of the Liver by Ultrasound Guided Biopsy
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摘要 目的 评价超声引导活检诊断肝脏炎性占位病变的临床应用价值。方法 回顾性分析经超声引导活检诊断的21例肝脏炎性占位病变的临床资料和声像图表现。结果 14例为单发病变,7例为多发病变;病变形态多不规则,3例呈高回声,18例呈低回声;其中15例直径>3cm.CDFI(Color dopplor flow image)显示病灶内血流不丰富,21例中仅1例病灶内引出动脉血流(65cm/s),2例>5cm病灶内见正常门静脉穿过。结论 经皮肝穿刺活检是一种安全的方法,有利于肝炎性占位病变的正确诊断。 Objective To evaluate the clinical value of Ultrasound Guided Biopsy in Inflammatory Occupied Diseases of the Liver. Methods The characteristics of clinical data and sonography were analyzed retrospectively in 21 Inflammatory Occupied Diseases of the Liver diagnosed by Ultrasound Guided Biopsies. Results There were 14 patients with single node. 7 with multiple nodes. The shapes of lesions were irregular. There were 3 patients with hyperechoic nodes, 18 with hypoechoic lesions. There were 15 patients whose diameters were more than 3 cm. Color doppler flow image showed there was no blood flow signal within the tumor in 18 patients, the velocity (65cm/s) of blood flow signal showed in 1 patient, normal portal vein showed in 2 patients whose diameters were more than 5cm. Conclusion Ultrasound Guided Biopsy is a safe method and beneficial to diagnose Inflammatory Occupied Diseases of the Liver.
出处 《全科医学临床与教育》 2003年第3期12-13,F003,共3页 Clinical Education of General Practice
关键词 超声引导 活检 诊断 肝脏炎性占位病变 Ultrasonography Biopsy Inflammatory Occupied Diseases of the Liver
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参考文献3

  • 1[1]Nakama T, Hayashi K, Komada N, et al. Inflammatory pseudo tumor of the liver diagnosed by needle liver biopsy under ultra sonographic tomograthy guidance [J]. J Gastroenterol, 2000, 35(8) :641 - 645.
  • 2[3]Lim JH, Lee JH. Inflammatory pseudotumor of the liver. Ultra sound and CT features[J]. Clin Imaging, 1995,19(1) :43 - 46.
  • 3董宝玮,梁萍,于晓玲,苏莉,于德江,张晶.超声引导粗针与细针穿刺活检比较[J].中华超声影像学杂志,2000,9(2):71-73. 被引量:88

二级参考文献4

  • 1董宝玮,中国医学影像学杂志,1994年,2卷,1115页
  • 2张武,中国超声医学杂志,1993年,9卷,313页
  • 3张武,中华超声影像学杂志,1993年,2卷,38页
  • 4董宝玮,临床介入性超声学,1990年,118页

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