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导向穿刺是近几年来开展的一项新技术。笔者利用B超导向穿刺抽吸组织成份诊断腹腔肿块。一次穿刺确诊率达97.2％。特别是利用肝素化后的空针抽吸,既得到细胞学的结果,又得到组织学的结果,使诊断的准确性和可靠性大为提高。本组中有42例经手术证实,其结果与术前穿刺结果完全相符合。笔者还利用B超导向对部份患者进行了介入性治疗,取得了良好的临床效果。其优点是提高了局部药物的浓度,增强了疗效。同时也减轻了全身用药的副作用。
Guided puncture is a new technology that has been developed in recent years. The author used a B-ultrasonic puncture aspiration tissue to diagnose abdominal masses. A puncture diagnosis rate of 97.2%. In particular, the use of heparinized empty needle aspiration results in both cytological and histological results, greatly improving the accuracy and reliability of diagnosis. In this group, 42 cases were confirmed by surgery, and the results were in complete agreement with the preoperative puncture results. The author also used B ultrasound guidance for interventional treatment of some patients, and achieved good clinical results. Its advantage is to increase the concentration of local drugs and enhance the efficacy. It also reduces the side effects of systemic medication.