CEUS引导下穿刺活检诊断前纵隔淋巴瘤的临床价值

发布时间：2018-11-21 14:57

【摘要】：目的探讨CEUS引导下穿刺活检对前纵隔淋巴瘤的诊断价值。方法回顾性分析经CEUS和常规超声引导穿刺的各36例前纵隔淋巴瘤患者资料。比较CEUS引导组和常规超声引导组的取材成功率和并发症发生率。结果CEUS引导下前纵隔肿块取材成功率为100%(36/36),其中非霍奇金淋巴瘤(NHL)26例,霍奇金淋巴瘤(HL)10例;36例患者,共穿刺取材60例次,并发症发生率为11.11%(4/36)。常规超声引导下前纵隔淋巴瘤取材成功率为88.89%(32/36),其中NHL 22例,HL 14例,共穿刺取材91例次,并发症发生率为41.67%(15/36)。2组取材成功率和并发症发生率差异均有统计学意义(χ2=4.235、8.651,P=0.040、0.003)。结论 CEUS可反映纵隔淋巴瘤的内部的微循环情况,更好地指导靶向穿刺活检,提高穿刺取材的成功率,减少并发症。
[Abstract]:Objective to evaluate the diagnostic value of CEUS-guided biopsy in anterior mediastinal lymphoma. Methods the data of 36 patients with anterior mediastinal lymphoma treated by CEUS and conventional ultrasound guided puncture were retrospectively analyzed. The success rate and complication rate of CEUS guided group and conventional ultrasound guided group were compared. Results the success rate of anterior mediastinal mass extraction under CEUS guidance was 100% (36 / 36), including 26 cases of non-Hodgkin 's lymphoma (NHL) and 10 cases of Hodgkin's lymphoma (HL). Among the 36 patients, 60 were obtained by puncture, and the incidence of complications was 11.11% (4 / 36). The success rate of conventional ultrasound guided anterior mediastinal lymphoma was 88.89% (32 / 36), including 22 cases of NHL and 14 cases of HL. The incidence of complications was 41.67% (15 / 36). There were significant differences in the rate of success and the incidence of complications between the two groups (蠂 ~ 2 = 4.235 ~ 8.651P ~ (0.0400.003). Conclusion CEUS can reflect the internal microcirculation of mediastinal lymphoma, guide targeted biopsy better, improve the success rate of puncture and reduce complications.
【作者单位】：中南大学湘雅二医院超声科;中南大学湘雅二医院放射科;
【基金】：湖南省自然科学基金(12JJ3102)
【分类号】：R445.1;R734.5

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