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针吸活检术已经广泛地应用于诊断包括眼眶肿瘤在内的人体肿瘤。但恐引起肿瘤细胞扩散、严重的眼内并发症以及缺乏熟练的针吸活检技术及细胞学诊断方法,从而限制了针吸活枪术在诊断眼内实性肿瘤中的应用。作者报告了1981～1983年6月所作的21例眼内实性肿瘤针吸活枪术的情况,并描述了适应证,器械和方法。一、适应证:(1) 病人拒绝接受临床诊断为眼内恶性肿瘤所提出的治疗建议,但同意在病理学上确定诊断后即接受该治疗者;(2) 临床诊断为脉络膜转移癌,但未查到原发病灶或其他可证明为转移性病变者;(3) 怀疑为眼内恶性肿瘤但不够典型而临床不能确定诊断者。二、器械:针吸活枪术通常采用22～30号针
Needle aspiration biopsy has been widely used to diagnose human tumors including orbital tumors. However, fear of causing tumor cell proliferation, severe intraocular complications and the lack of skilled needle aspiration biopsy and cytology diagnostic methods, which limits the needle aspiration live gun in the diagnosis of intraocular solid tumors. The authors reported on 21 cases of intraocular solid tumor needle-inhaled live-fire from 1981 to 1983 and described indications, devices and methods. First, indications: (1) the patient refused to accept the clinical diagnosis of intraocular malignant tumor proposed treatment, but agreed to determine the pathological diagnosis of the patient after receiving the treatment; (2) the clinical diagnosis of choroidal metastasis, but No primary lesion or other evidence of metastatic disease was detected. (3) Suspected intraocular malignant tumors but not typical and clinically not identifiable. Second, equipment: needle inhaling live gun usually use 22 to 30 needles