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目的:观察比较Bard MAxcore全自动复用型活检枪及配套的16G切割式活检针与16GMenghini传统吸引式肝活检穿刺针穿刺活检的效果。方法:选择肝脏疾病患者528例,随机分为观察组和对照组各264例。观察组采用Bard MAxcore全自动复用型活检枪及配套的16G切割式活检针行穿刺活检,对照组采用16G Menghini传统吸引式肝穿刺针行穿刺活检。比较两组穿刺成功率、标本良好率及不良反应发生情况。结果:两组穿刺成功率差异不显著(P>0.05)。观察组取材良好率为89.0%,非常显著高于对照组的24.6%(P<0.01)。观察组术后疼痛发生率非常显著低于对照组(P<0.01),两组神经性血压波动发生率比较,差异不显著(P>0.05);两组均未发生肝出血、气胸或胸腔积液等严重并发症。结论:采用Bard MAxcore全自动复用型活检枪及配套的16G切割式活检针,行穿刺活检效果优于16G Menghini传统吸引式肝活检穿刺针穿刺活检。
Objective: To observe and compare the effectiveness of Bard MAxcore automatic reutilization biopsy gun with 16G biopsy needle and 16G Menghini traditional suction liver biopsy needle biopsy. Methods: 528 patients with liver diseases were randomly divided into observation group and control group with 264 cases each. The observation group was biopsied by Bard MAxcore automatic biopsy gun and matched 16G biopsy needle while the control group was biopsied by 16G Menghini traditional suction liver puncture needle. The successful rates of puncture, specimen good rate and adverse reactions were compared between the two groups. Results: There was no significant difference in success rate between the two groups (P> 0.05). The good rate of the observation group was 89.0%, which was significantly higher than that of the control group (24.6%, P <0.01). The incidence of postoperative pain in the observation group was significantly lower than that in the control group (P <0.01). There was no significant difference in the incidence of neurological blood pressure fluctuation between the two groups (P> 0.05). No hepatic hemorrhage, pneumothorax, Fluid and other serious complications. Conclusion: The biopsy with Bard MAxcore automatic biopsy gun and 16G biopsy needle is superior to 16G Menghini biopsy in traditional aspiration biopsy needle.