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本文报道3例内镜活检阴性的患者,行超声引导下经皮细针抽吸的活检结果。病人 3例中男2例,年龄分别为60和64岁,女1例64岁。均有体重下降、腹痛、厌食等症状和体征,钡餐检查提示胃窦部和贲门部胃壁增厚,多次内镜活检均为阴性,采用“B”型超声引导下经皮细针抽吸活检,3例均得印戒细胞癌的细胞学材料,无合并症。方法本法应用实时“B”型超声扫描仪,22号硬质腰椎穿刺针,口径为0.6mm。术前禁食12h,不需术前给药。先行超声探测确定胃壁增厚的部位,
This article reported three patients with negative endoscopic biopsy underwent ultrasound-guided percutaneous fine needle aspiration biopsy results. The patient included 3 males in 2 cases, aged 60 and 64 years respectively, and female 1 in 64 years old. There are weight loss, abdominal pain, anorexia and other symptoms and signs, barium meal examination prompted gastric antrum and cardia wall thickening, multiple endoscopic biopsy were negative, using “B” ultrasound guided percutaneous fine needle aspiration biopsy In all three cases, cytology materials of signet-ring cell carcinoma were obtained without complications. Methods The method was applied real-time “B” ultrasound scanner, No. 22 hard lumbar puncture needle, diameter of 0.6mm. Preoperative fasting for 12 hours without preoperative administration. Ultrasound detection is used to determine the site of thickening of the stomach wall.