【摘要】 目的:探讨CT导向下人工气胸后行肝顶病变穿刺活检的可行性、安全性及诊断的准确性。方法:23例(男性17例女性6例)患者,经超声、CT或磁共振检查发现肝脏顶部病变,经CT导向下先行人工气胸,推移膈顶周围肺组织,使肝脏顶部病变充分暴露,然后经胸膜腔进针对肝脏病变活检,待检出组织满意后将人工气胸注入的洁净气体抽出。结果:本组共23例手术均顺利完成,术后观察2～5天,无1例出现病理性气胸、出血、感染等并发症。术后病理结果:14例为肝细胞癌,2例为胆管细胞癌,3例为肝内局灶性结节性增生,4例为肝内慢性炎症。结论:CT导向下人工气胸后行肝顶病变的穿刺活检是一种安全可行、定位准确的检查方法。更多还原

【Abstract】 Objective:The purpose of our study was to evaluate the safety and diagnostic accuracy of CT-Guided core biopsy of hepatic dome lesions with artificial pneumothorax. Methods:The study included 23 patients (17 males and 6 females),who were found after the examination of US,CT or MRI. First,we performed the artificial pneumothorax,then through the thoracic cavity to biopsy the hepatic dome lesion after the biopsy extracted the air. Results:Overall,the 23 experiences performed successfully without any serious complications. The pathologic exam included 14 hepatic cell carcinoma,2 cholangiocellular carcinoma,3 focal nodular hyperplasia (FNH),and 4 chronic hepatitis. Conclusion:CT-Guided core biopsy of hepatic dome lesions with artificial pneumothorax is a safe method for diagnosis.更多还原