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目的 探讨腹腔镜超声肝脏检查及在其引导下肝脏肿瘤穿刺活检术的价值。 方法 10mm 7 5MHz线性超声探头检查肝脏。18G穿刺针进行穿刺。在腹腔镜和超声波共同引导下,穿刺针经皮刺入肿瘤组织。穿刺时,穿刺针要与超声波的平面平行。 结果 310例发现肝脏原发或转移性肿瘤 1 080个。穿刺无一例假阴性,无出血性并发症及其他脏器损伤。310例随访 6年,穿刺点无肿瘤种植。 结论 腹腔镜超声波检查能较准确对肝脏进行全面评估,在其引导下细针穿刺
Objective To investigate the value of laparoscopic ultrasonography in liver biopsy and hepatic tumor biopsy under its guidance. Methods 10mm 7 5MHz linear ultrasound probe to check the liver. 18G puncture needle puncture. Under the guidance of laparoscopy and ultrasound, the puncture needle pierces the tumor tissue percutaneously. When puncturing, the puncture needle should be parallel to the plane of the ultrasound. Results A total of 1 080 primary or metastatic tumors were found in 310 cases. Puncture without a false negative, no bleeding complications and other organ damage. 310 cases were followed up for 6 years without puncture and tumor implantation. Conclusion Laparoscopic ultrasonography can be more accurate assessment of the liver in a comprehensive, guided fine needle aspiration