肝穿刺

CT引导下经皮肝穿刺诊断和治疗的临床应用

Percutaneous Liver Puncture under CT Guidance : Clinical Application

目的：提高CT引导下经皮肝穿刺抽吸活检及介入治疗的技术水平，并评价其临床应用价值。

Objective : To evaluate the clinical value of percutaneous liver puncture under CT guidance .

CT引导下肝穿刺在不典型肝癌诊断中的应用

Application of CT-guided Puncture on Diagnosis of Atypical Hepatocellular Carcinoma

目的：研究三维螺旋CT经皮肝穿刺胆系造影（3D-SCT-PTC）对胆管梗阻性病变的临床应用价值。

Objective : To study the clinical value of three-dimensional spiral CT-PTC in obstructive biliary diseases .

B超或CT导向下的肝穿刺活组织检查能明确诊断；

The aspiration liver biopsy guided by B mode ultrasound and CT scan can provide correct diagnosis ;

目的探讨CT引导下经皮肝穿刺无水乙醇瘤内注射治疗原发性肝癌的疗效。

Objective To investigate effect of anhydrous ethanol tumor injection for primary liver cancer under the guide of CT .

方法对66例经肝穿刺活检病理证实的慢性乙型肝炎肝纤维化患者组和42例正常对照组进行螺旋CT三期增强扫描。

Methods Spiral CT three-phase scan was performed in 66 patients with chronic hepatitis confirmed pathologically by liver biopsies and the 42 healthy .

经皮肝穿刺TH胶‘三明治’灌注栓塞与内镜下套扎治疗食管胃底静脉曲张的比较

Comparison of TH Glue'sandwich'Perfusing Embolization Through Percutaneous Liver Puncture and Endoscopic Knot Ligation in Treating Esophageal Varicosity

，针灯心草J.细针侧径路经皮肝穿刺胆道造影

Fine needle via side pathway puncture in percutaneous transhepatic cholangiography procedure

所有患者肝穿刺的同时，取血清测NO、TNFα-和内毒素。

At the same time of liver biopsy , serum was to be measured for NO , TNF - α, endotoxin .

超声引导下经皮肝穿刺活检对AFP阴性的肝占位性质判断

Estimation of Liver Occupancy of AFP Negative By Percutaneous Needle Biopsy Of Liver Through Ultrasonic Induction

Kappa分析在肝穿刺活检病理诊断质量控制中的应用

Application of kappa analysis in quality control of pathological diagnosis in liver biopsies

方法应用常规05TMRI扫描机对13例病人作MRI导引经皮肝穿刺活检，用19GMRI兼容的抽吸穿刺针作穿刺。

Methods MR guided aspiration biopsy of liver lesions with 0.5T Conventional MR system and 19 gauge MRI compatible aspiration needle was performed in 13 patients .

方法随机选择42例成年慢性丙型肝炎患者，检测其血清HCVRNA水平，并作肝穿刺活检，光镜多视野观察其肝组织病理学损伤。

Methods 42 adult patients with chronic hepatitis C collected . Their sera HCV RNA and liver tissue injure activities were detected .

结论：CT引导下经皮肝穿刺为基础进行的抽吸活检及介入治疗对肝脏疾病诊断、鉴别诊断及治疗具有重要临床意义。

Conclusion : Aspiration biopsy and interventional therapy based on percutaneous puncture under CT guidance is of great clinical value in the diagnosis , differential diagnosis and treatment of liver disease .

胆管恶性肿瘤经皮肝穿刺胆管造影（PTC）的X线诊断（附33例分析）

The X ray Diagnosis of PTC with Maligant Lesions of Bile Ducts ( Analysis of 33 Cases )

对6例血清HAV阳性的甲肝患者，在其ALT下降后做肝穿刺，进行光镜、电镜及免疫酶标检测。

Liver puncture biopsy was performed in 6 serum HAV positive patients when their ALT resumed normal value .

肝穿刺活检采用在B超或CT引导下快速肝穿刺活检术，组织经10%中性甲醛固定，石蜡包埋，HE染色。

The needle aspiration biopsy for liver was guided by ultrasonic or CT . The speciman was infused by 10 % neutral formaldehyde solution , embedded in paraffin wax , and stained with HE .

目的探讨B超定位下经皮肝穿刺对AFP阴性的肝占位病变进行活检，确定肝占位性病变的性质，提高其诊断率。

Objective To determine the SOL property and raise diagnostic rate by biopsy of Percutaneous liver puncture in the AFP negative livers .

慢性乙型病毒性肝炎的诊断及鉴别诊断&30例肝穿刺的光镜、电镜观察及HBsAg检测研究

Diagnosis and Differential Diagnosis of Chronic Virus B Hepatitis : 30 Cases of Liver Biopsy studied with Light and Electron Microscopy and HBsAg Test

目的评价超声导向下经皮肝穿刺瘤内注射无水酒精（percutaneousethanolinjection，PEI），在肝癌术后复发病人中的治疗效果和应用价值。

Objective To evaluate the therapeutic effect and application value of ultrasound-guided percutaneous ethanol injection therapy ( PEI ) on patients with the post-operative recurrence of live cancer .

目的评价普通超声探头定位经皮经肝穿刺胆管置管引流术（Percutaneoustranshepaticcholangialdrainage，PTCD）的临床价值。

Objective To evaluate the clinical value of percutaneous transhepatic cholangial drainage ( PTCD ) with common ultrasonic transducer .

结论经皮经肝穿刺胆道引流（PTCD）术后第5d经皮肝穿刺胆道引流引流管周围己形成完整致密组织粘连。

Conclusions The tight adherence around catheter is formed in 5 days after PTCD .

HBeAg阴性和阳性慢性乙型肝炎患者肝穿刺活检比较

Comparison on liver tissue biopsy changes of the two states of HBeAg positivity and negativity in the patients with chronic hepatitis B

方法先行经皮经肝穿刺引流（PTCD）建立窦道、确定诊断。

Methods First , PTCD were made to set up sinus and confirm diagnosis .

方法将144例原发性肝癌患者配对设计分为两组，治疗组采用CT引导下经皮肝穿刺瘤内注射无水乙醇，对照组行综合性治疗，比较两组治疗效果。

Methods 144 primary liver cancer cases are divided into two groups randomly , one group use anhydrous ethanol tumor injection , the other group use synthetical therapy , the difference effect was compared between the two groups .

入选后，所有病例予以核苷类似物抗病毒治疗24周，再次测定外周血HBVdna及肝穿刺。

All patients were treated with nucleoside analogues ( Lamivudine or LdT or Adeforvir ) for 24 weeks . HBV DNA loads of peripheral blood and liver biopsy were assessed before and after the treatment .

目的加强对经皮肝穿刺胆道造影（PTC）和引流（PTCD）操作过程中要点和术后并发症的认识。

Objective To get a better understanding of the operating process of PTC and PTCD and potential accompanied diseases after operation .

方法本组16例，经CT引导下肝穿刺，吡柔比星50~70mg/m2，生理盐水稀释至10~30ml，瘤体内直接注入，每3周一次，3次为一疗程，共计95例次。

Methods Sixteen patients were treated with THP ( 50-70 mg / m ~ ( 2 ), diluted to 10-30 ml with NS ) by CT-guided intervenient therapy once every three weeks . Three times constituted one course of treatment .

目的分析经皮肝穿刺胆管引流术（PTCD）的常见并发症，提出防治措施。

Objective To analyze the complications of percutaneous transhepatic cholangic drainage ( PTCD ) and the prevention measures .