彩色多普勒超声引导下粗针穿刺活检在涎腺肿块中的应用

发布时间：2018-06-09 04:36

本文选题：涎腺肿瘤 + 超声检查　；参考：《中国介入影像与治疗学》2017年05期

【摘要】：目的分析彩色多普勒超声引导下粗针穿刺活检在涎腺肿块中的诊断价值。方法回顾性分析56例涎腺肿块经彩色多普勒超声引导下粗针穿刺活检资料。活检病理诊断结果如果为恶性可定为真阳性;如果为良性或未见恶性,结合其他影像学检查并临床随访6个月以上最终确定诊断。计算穿刺活检的成功率、敏感度和特异度,并比较涎腺良、恶性肿块穿刺前的彩色多普勒超声表现。结果彩色多普勒引导下粗针穿刺活检的56例涎腺肿块,穿刺次数1~3次。确诊良性病灶32例,恶性肿瘤23例;1例穿刺病理诊断不明确,后经切除活检确诊为B细胞淋巴瘤。穿刺成功率、敏感度、特异度和假阴性率分别为98.21%(55/56)、95.83%(23/24)、100%(32/32)、4.17%(1/24)。无严重并发症发生。56例良恶性涎腺肿块彩色多普勒超声表现中,肿块的边界、形态、回声均匀性、包膜完整性和血流分级差异均有统计学意义(P均0.05)。结论彩超引导下粗针穿刺活检具有安全、准确、并发症少的优点,可避免不必要的手术,对涎腺病变的诊断有重要作用。
[Abstract]:Objective to analyze the diagnostic value of coarse needle biopsy guided by color Doppler ultrasound in salivary gland mass. Methods the data of 56 cases of salivary gland mass with coarse needle biopsy guided by color Doppler ultrasound were analyzed retrospectively. The pathological diagnosis of biopsy can be regarded as true positive if it is malignant and if it is benign or not, combined with other imaging examination and clinical follow-up for more than 6 months to determine the final diagnosis. The success rate, sensitivity and specificity of biopsy were calculated, and the color Doppler ultrasound findings of benign and malignant salivary gland masses before puncture were compared. Results there were 56 cases of salivary gland mass with coarse needle biopsy guided by color Doppler. 32 cases of benign lesions and 23 cases of malignant tumors were diagnosed as B cell lymphoma. The success rate of puncture, sensitivity, specificity and false negative rate were 98.21%, 55% and 95.83%, respectively. There were no serious complications. In 56 cases of benign and malignant salivary gland masses, there were significant differences in the margin, shape, echo homogeneity, envelope integrity and blood flow grading of the masses (P < 0.05). Conclusion the coarse needle biopsy guided by color Doppler ultrasound has the advantages of safety, accuracy and less complications, which can avoid unnecessary operation and play an important role in the diagnosis of salivary gland lesions.
【作者单位】：北京大学肿瘤医院暨北京市肿瘤防治研究所超声科恶性肿瘤发病机制及转化研究教育部重点实验室;厦门大学附属中山医院超声科;山西医科大学第一医院超声科;
【分类号】：R445.1;R739.8

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