- 期刊
- OpenAccess
Intraductal Forceps Biopsy of Icteric Hepatocellular Carcinoma after Percutaneous Transhepatic Biliary Drainage
經由經皮穿肝膽道引流術瘻管在膽道內進行黃膽性肝癌切片
摘要
本報告嘗試決定在有凝血功能障礙或有腹水的慢性肝炎病患的膽道內進行黃膽性肝癌切片的可行性及安全性。 經電腦斷層或磁振造影術懷疑因腫瘤造成膽道阻塞的十五名慢性肝炎病患先接受經皮穿肝膽道引流術。待一至二週瘻管成熟後，在瘻管內進行腫瘤切片。 在所有十五名病患均能取得足夠且正確的標本以診斷為肝癌。所有的病患都曾有短暫的膽道出血，但均在二十四小時內恢復正常的膽汁流量及色澤。兩位病患曾發生短暫的輕微發燒。少數病患在切片時感覺短暫疼痛。但無任何重大的併發症發生。 在經皮穿肝膽道瘻管內進行腫瘤切片是一項安全且可靠的檢查。對黃膽性肝癌的病人既可解決黃膽的問題又能獲得正確的病理組織。
並列摘要
To determine the usefulness and effectiveness of percutaneous transhepatic intradutcal biopsy for icteric type hepatocellular carcinoma (HCC). Thirteen patients with chronic hepatitis and obstructive jaundice received percutaneous transhepatic biliary drainage (PTBD). Intraductal forceps biopsy was performed through the established percutaneous transhepatic tract 1 to 2 weeks later. Adequate specimen for pathological diagnosis was obtained in all patients, Transient hemobilia occurred in all patients and minor complications such as low grade fever and pain were occasionally seen. No major complication was encountered. Intraductal forceps biopsy after percutaneous transhepatic drainage is a safe and effective method for tissue confirmation of icteric HCC even in cases of bleeding tendency and presence of small amount of ascites.
延伸閱讀
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