彩超引导下的粗针穿刺活检术在腮腺肿瘤诊断中的应用

发布时间：2018-09-17 15:02

【摘要】：目的:探讨彩超引导下粗针穿刺活检在腮腺肿瘤术前诊断中的应用。方法:回顾2013~2015年于湖北省恩施州中心医院术前行彩超引导下粗针穿刺活检的腮腺肿瘤患者63例,将彩超引导下粗针穿刺活检的结果与术后组织病理学结果进行比较并统计。结果:63例腮腺肿瘤患者中,彩超引导下粗针穿刺活检诊断良性肿瘤56例,其中有1例术后病理检查报道为粘液表皮样癌,彩超引导下粗针穿刺活检诊断符合率98.2%;彩超引导下粗针穿刺活检诊断恶性肿瘤7例,彩超引导下粗针穿刺活检诊断符合率100%。彩超引导下粗针穿刺活检术术后发生并发症11例,术区疼痛6例,术区肿胀5例,无面神经损伤病例。结论:彩超引导下粗针穿刺活检术在腮腺肿瘤诊断中准确率高,术后并发症少,无不可逆性损伤。
[Abstract]:Objective: to investigate the application of ultrasound guided coarse needle biopsy in the preoperative diagnosis of parotid gland tumors. Methods: a total of 63 patients with parotid gland tumor who underwent biopsy with coarse needle guided by color Doppler ultrasound from 2013 to 2015 were reviewed. The results of biopsy guided by color Doppler were compared with the results of histopathology after operation. Results among 63 patients with parotid gland tumor, 56 cases were diagnosed by coarse needle biopsy guided by color Doppler ultrasound, among which 1 case was reported to be mucoepidermoid carcinoma by pathological examination after operation. The diagnostic coincidence rate of coarse needle biopsy guided by color Doppler ultrasound was 98.2, and that of coarse needle biopsy guided by color Doppler ultrasound was 7 cases of malignant tumor, and the diagnostic coincidence rate of coarse needle biopsy guided by color Doppler ultrasound was 100%. There were 11 cases of complications, 6 cases of pain, 5 cases of swelling, and no case of facial nerve injury. Conclusion: the diagnostic accuracy of coarse needle biopsy guided by color Doppler ultrasound in parotid gland tumor is high, the postoperative complications are less, and there is no irreversible injury.
【作者单位】：湖北省恩施州中心医院口腔诊疗中心;
【分类号】：R739.8

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