超声引导下颈部淋巴结穿刺活检的临床应用

发布时间：2018-06-11 16:17

本文选题：淋巴结肿大 + 超声　；参考：《吉林大学》2013年硕士论文

【摘要】：目的：通过对超声引导下颈部淋巴结穿刺活检的应用研究，进一步探讨并评价此项技术对颈部肿大淋巴结诊断的应用价值，总结此项技术的操作经验，为此项技术的临床应用提供经验和参考资料。方法：以2010年9月~2013年2月期间在吉林大学白求恩第一医院住院的、诊断为颈部淋巴结肿大的96例患者为研究对象。对96例患者进行了超声引导下颈部肿大淋巴结穿刺活检。对96例患者的病理标本取材效果，肿大淋巴结的病理结果，肿大淋巴结超声诊断与病理诊断结果对照，以及手术操作经验等方面进行总结分析。结果：①对96例患者共穿刺取材400针，其中364针穿刺所取的组织适合病理组织学检查，穿刺取材成功率为91.0％。②96例标本中病理明确诊断94例，未确诊2例，诊断率为97.9%。③与术后病理检查结果比较，超声引导下穿刺活检诊断淋巴结恶性病变72例，符合率100%（72/72）；诊断淋巴结良性病变22例，符合率91.7%（22/24）。④淋巴结恶性病变中，最多见的是转移癌和淋巴瘤；淋巴结良性病变中最多见的是淋巴结炎症。结论：①超声引导下颈部肿大淋巴结穿刺活检术取材成功率高，取得的病理标本，基本可以满足病理诊断的要求。②超声引导下穿刺活检对颈部肿大淋巴结诊断符合率高，可满足临床诊断的需要。③本项目研究病例中，颈部淋巴结恶性病变占绝大部分，其中转移癌和淋巴瘤所占比例最大。
[Abstract]:Objective: to study the application of ultrasound guided cervical lymph node biopsy, and to evaluate the value of this technique in the diagnosis of cervical enlarged lymph nodes, and to summarize the experience of this technique. Methods: from September 2010 to February 2013, 96 patients who were hospitalized in Bai Qiuen first Hospital of Jilin University and diagnosed as cervical lymphadenopathy were studied. 96 cases of cervical lymph node biopsy guided by ultrasound were performed. The results of pathological specimens, pathological results of enlarged lymph nodes, ultrasonic diagnosis of enlarged lymph nodes and pathological diagnosis of 96 patients were compared. Results 400 needles were taken from 96 patients, of which 364 needles were suitable for histopathological examination. The successful rate of biopsy was 91.0.296 cases. 94 cases were diagnosed by pathology, 2 cases were undiagnosed, and the diagnostic rate was 97.9.3. 72 cases of malignant lymphadenopathy were diagnosed by ultrasound-guided biopsy. The coincidence rate was 100 / 72 / 72.22 cases of benign lymphadenopathy were diagnosed, the coincidence rate was 91.7% and 22% 24.4% of malignant lymph node lesions, the most common cases were metastatic carcinoma and lymphoma. Lymph node inflammation is the most common benign lesion of lymph nodes. Conclusion the successful rate of biopsy for cervical lymph nodes is high under the guidance of 1: 1 ultrasound, and the pathological specimens are obtained. It can basically meet the requirement of pathological diagnosis. 2 Ultrasound-guided biopsy has a high coincidence rate for the diagnosis of enlarged cervical lymph nodes. In this study case, the malignant lesions of cervical lymph nodes accounted for the majority of the cases, which can meet the needs of clinical diagnosis. Metastasis and lymphoma accounted for the largest proportion.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R445.1

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