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目的 用普通探头超声引导行针吸细胞学检查诊断肝癌和 PEI治疗肝癌。方法 对 4 0例肝占位性病变行针吸细胞学检查 ,对 30例细胞学确诊的肝癌进行 PEI治疗。结果 针吸细胞学检查总穿刺成功率 95 % ,30例找到肝癌细胞 ,对 30例确诊肝癌病例的 4 5个结节进行 2 0 1次 PEI,最后达到一年存活率 6 3% ;二年存活率2 3% ;三年存活率 14 %。结论 普通探头灵活方便 ,针吸细胞学检查可以达到迅速定性诊断肝占位性病变 ,PEI治疗肝癌可缩小、控制或延缓肿瘤的生长速度 ,达到癌细胞原位灭活的效果。二者联合应用达到明确疹断和合理治疗并举的作用 ,有很高的应用价值。
Objective To use ordinary probe ultrasound guided needle aspiration cytology diagnosis of liver cancer and PEI treatment of liver cancer. Methods Forty-four cases of hepatic space-occupying lesions underwent needle aspiration cytology, and 30 cases of cytologically diagnosed hepatocellular carcinoma were treated with PEI. Results The total puncture success rate of needle aspiration cytology was 95%, 30 cases of liver cancer cells were found, 20 cases of 45 nodules in 30 cases of liver cancer confirmed PEI, and finally reached a one-year survival rate of 6 3%; two years Survival rate of 23%; three-year survival rate of 14%. Conclusion The common probe is flexible and convenient. Needle aspiration cytology can rapidly and qualitatively diagnose hepatic space-occupying lesions. The treatment of liver cancer with PEI can reduce, control or delay the growth of tumor and achieve the inactivation effect of cancer cells in situ. The combination of the two to achieve a clear rash and reasonable treatment of both, has a high value.