超声引导下细针穿刺制作细胞块术前诊断涎腺恶性肿瘤的应用价值

发布时间：2018-02-22 20:31

本文关键词： 超声引导细针穿刺细胞块涎腺恶性肿瘤　出处：《中国超声医学杂志》2017年05期 　论文类型：期刊论文

【摘要】：目的探讨超声引导下细针穿刺制作细胞块术前诊断涎腺恶性肿瘤的应用价值。方法在彩色多普勒超声引导下,对229个涎腺肿块进行细针穿刺,穿刺标本制成细胞块,做出细胞病理学诊断。结果超声定位准确度为100%(229/229);对照术后病理组织学结果,超声对涎腺恶性肿瘤病理分型诊断准确度为16.2%(12/74);细胞病理学对涎腺肿块病理分型诊断准确度为95.6%(219/229),对涎腺恶性肿瘤病理分型准确度为94.6%(70/74),显著高于超声诊断(P0.01)。结论超声对涎腺肿块定位准确度高,引导细针穿刺制作细胞块在术前诊断涎腺恶性肿瘤方面具有重要意义。
[Abstract]:Objective to evaluate the value of ultrasound guided fine needle puncture in the diagnosis of salivary gland malignant tumor before operation. Methods 229 salivary gland masses were punctured with fine needle guided by color Doppler ultrasound. Results the accuracy of ultrasonic localization was 100% 229 / 229g; compared with postoperative histopathological results, The accuracy of ultrasonographic diagnosis of salivary gland malignant tumor was 16.212 / 74, the accuracy of cytopathology for salivary gland mass was 95.619 / 229g, and the accuracy for salivary gland malignant tumor was 94.670 / 74, which was significantly higher than that for ultrasonic diagnosis of salivary gland tumor (P 0.01). The accuracy of localization of salivary gland masses was high. It is important to guide fine needle puncture to make cell mass in diagnosis of salivary gland malignant tumor before operation.
【作者单位】：厦门大学附属第一医院超声影像科;
【分类号】：R445.1;R739.8

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