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我院自1980年以来采用改进Menghini氏的穿刺方法,作快速肝穿刺术诊断原发性肝癌104例,现报道如下。 本组中甲胎蛋白阳性30例;低持阳42例;阴性6例。B超、同位素或CT均有肝区占位性病变。男、女比为98:6。年龄25～62岁。采用改进Menghini氏针18号,针头坡度较大,针尖具有内针心,长约3cm。临床疑为肝癌而谷雨转氨酶在正常范围,凝血酶原活性大于60％者均为适应征。黄疸指数高,有出血倾向或出、凝血时间延长者均属禁忌。
Our hospital has adopted the modified Menghini’s puncture method since 1980 to perform rapid hepatic puncture to diagnose 104 cases of primary liver cancer. In this group, 30 cases of alpha-fetoprotein were positive; 42 cases had low retention and 6 cases were negative. B-ultrasound, isotope or CT all have lesions in the liver area. The male to female ratio is 98:6. Age 25 to 62 years old. With the improved Menghini’s needle 18, the needle has a steeper slope and the needle tip has an inner needle center, about 3 cm long. Clinically suspected liver cancer and canine transaminase in the normal range, prothrombin activity greater than 60% were all indications. High jaundice index, bleeding tendency, or prolonged clotting time are contraindicated.