超声引导下经皮徒手穿刺活检术在颈部包块诊断中的应用价值

发布时间：2018-03-31 23:25

本文选题：超声引导　切入点：徒手　出处：《安徽卫生职业技术学院学报》2016年05期

【摘要】：目的:探讨超声引导下经皮徒手穿刺活检术在颈部包块诊断中的应用价值。方法:使用16G活检针于超声引导下经皮徒手穿刺110例颈部包块病变,取材能做出明确病理诊断者为取材成功,否则为失败。全部病例以超声引导穿刺活检病理肯定诊断或术后病理为最后诊断。结果:110例患者中,106例取材成功,穿刺取材满意率为96.4%,恶性71例,其中恶性肿瘤转移性63例,淋巴瘤7例,性质不能确定1例。良性35例,其中淋巴结核6例,反应性增生16例,坏死性淋巴结炎4例,神经鞘瘤3例,慢性淋巴结炎1例,描述性诊断5例;4例不能满足病理诊断要求。结论:超声引导下经皮徒手穿刺活检颈部包块具有实时性、安全性、精准性、有效性,可作为颈部包块定性诊断的首选方法。
[Abstract]:Objective: to evaluate the value of ultrasound-guided percutaneous free-hand biopsy in the diagnosis of cervical mass.Methods: 110 cases of cervical mass lesions were treated with 16G biopsy needle guided by ultrasound.All cases were confirmed by ultrasound-guided biopsy or the final diagnosis was postoperative pathology.Results among the 110 cases, 106 cases were successfully selected. The satisfactory rate of puncture was 96.4, malignant 71 cases, including 63 cases of malignant tumor metastasis, 7 cases of lymphoma, and 1 case of uncertain nature.35 cases were benign, including 6 cases of lymph node nucleus, 16 cases of reactive hyperplasia, 4 cases of necrotizing lymphadenitis, 3 cases of neurilemmoma, 1 case of chronic lymphadenitis, 5 cases of descriptive diagnosis could not meet the requirements of pathological diagnosis.Conclusion: ultrasound guided percutaneous free hand biopsy of cervical mass is real-time, safe, accurate and effective. It can be used as the first choice for qualitative diagnosis of cervical mass.
【作者单位】：安徽中医药大学第一附属医院;
【分类号】：R445.1;R730.44

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