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原发性肝癌作甲胎蛋白检查,其阳性率约为75％左右;肝扫描诊断肝癌,虽然符合率在85～95％以上,但只能显示占位性病变,为作出更准确的肝癌诊断,需要取得细胞学证据。我们自1980年至1983年4月采用细针肝穿细胞检查22例,总结如下: 一、适应证和禁忌证:凡原因不明的肝肿大(除外肝包虫)均可考虑肝穿刺。极度衰竭、高度贫血和不能合作者,不宜穿刺。二、器械:20ml玻璃注射器1具,8号(或9号)针头1支。三、穿刺前准备及方法: 1.穿刺前检查血小板数、出凝血时间,
Primary liver cancer for alpha-fetoprotein examination, the positive rate of about 75%; liver scan diagnosis of liver cancer, although the coincidence rate of 85 to 95% or more, but can only show the space-occupying lesions, in order to make a more accurate diagnosis of liver cancer Need to obtain cytological evidence. From 1980 to April 1983, we used 22 cases of fine-needle liver-penetrating cells for examination, which are summarized as follows: 1. Indications and contraindications: All patients with unexplained hepatomegaly (except liver hydatidosis) can consider liver puncture. Extremely exhausted, highly anemic and unable to collaborate should not be punctured. Second, equipment: 1 glass syringe 20ml, 8 (or 9) needle 1. Third, puncture preparation and methods: 1. Puncture check the number of platelets, the clotting time,