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目的调查研究肝癌穿刺活检后腹腔灌洗液中癌细胞情况。方法肝癌患者20例,剖腹探查后行肝癌穿刺活检,穿刺后用生理盐水100mL灌洗术野,收集灌洗液立即送病理科查找癌细胞,然后继续肝癌切除或射频消融。结果 20例腹腔灌洗液标本中,查见癌细胞1例(5%),未查见19例(95%)。结论肝癌穿刺活检可导致癌细胞脱落至腹腔肝癌患者,选择肝穿刺活检应慎重,防止医源性播散。
Objective To investigate the situation of cancer cells in peritoneal lavage fluid after biopsy of liver cancer. Methods Twenty patients with liver cancer underwent laparotomy of hepatocellular carcinoma after laparotomy. After puncture, 100 mL of saline was used to lavage the operation field. The lavage fluid was collected and immediately sent to the pathology department for cancer detection. Then the resection or radiofrequency ablation was continued. Results Twenty cases of peritoneal lavage fluid were found in 1 case (5%) and 19 cases (95%) were not detected. Conclusion Hepatic cancer biopsy can lead to cancer cells shedding to patients with peritoneal liver cancer, liver biopsy should be carefully selected to prevent iatrogenic dissemination.