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时间:2020-06-03
《超声引导下经皮穿刺活检对颈部淋巴结病变的诊断价值.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、中国超声医学杂志2014年4月第3O卷第4期ChineseJUltrasoundMedVo1.30No.4April2014一295一超声引导下经皮穿刺活检对颈部淋巴结病变的诊断价值张更臣李俊来黎晓林曹兵生摘要目的探讨超声引导下经皮穿刺活检对颈部淋巴结病变的诊断价值。方法用16G及18G活检针于超声引导下经皮穿刺189例颈部淋巴结病变,所取出目标组织能做出明确组织病理诊断者为取材满意,否则为不满意。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189例患者中,184例取材满意,穿刺取材满意率为97.4。超声引导下16G及18G针穿刺活检对
2、诊断颈部淋巴结病变的灵敏度、特异度和准确度分别100、96、98和100%、94、97,两针型良恶性的诊断差异无统计学意义(P>0.05)。而超声诊断的相应指标分别为83、93、88,差异有统计学意义(P3、unlai,LiXiaolin,eta1.DepartmentofUltrasoundinSouthBuilding。ChinesePLAGeneralHospita1.Beijing100853ChinaAbstract:ObjectiveToinvestigatethevalueofultrasound-guidedpercutaneouscore-needlebiopsy(US-PCNB)ofindiagnosisofnecklymphadenopathy.MethodsOnehundredandeighty-ninepatientswithneck4、lymphadenopathyunderwentultrasound—guidedbiopsyusingcoarseneedle(16Gor18G),Satisfiedsamplingwasdefinedastheacquiredtissuebeinglargeenoughtogiveadefinitediagnosis,otherwiseasdissatisfiedsampling.Finaldiagnosiswasmadebasedonpathologywastakenasthefinaldiagnosis.ResultsTherewere184sat5、isfiedmaterialsin189cases,fromwhichdefinitehistologicdiagnosiscouldbegiven,Thesatisfactoryrateofsamplingwas97.4.Thesensitivity,spe—cificityandaccuracyofUS-PCNB16Gand18Gindiagnosisofnecklymphaden-opathywere100.96,98and100,94,97.Therewasnosignificantdifferentbetweenthetwotypesofneed6、lesintheeligibilityofsampling(P>O.05).However,thesensitivity,specificityandaccuracyindexofUSinthatwas83,93,88respectively.Therewassignificantdifferent(P<0.05).ConclusionsUS-PCNBissensitiveandaccurateindiagnosisofnecklymphadenopathywithalowerincidenceofcomplication,itisaneffectivet7、echniqueinconfirmingthediagnosisofnecklymphadenopathy.Keywords:Ultrasoundguided。Biopsy,Lymphnode,Diagnosticvalue颈部淋巴结肿大是一种常见的病理现象,能反映病研究所189例颈部淋巴结肿大患者的超声检查结淋巴结自身或身体其他部位的多种病变。因此,颈部果,男125例,女64例,年龄4~73岁,平均包块治疗前明确其性质非常重要。为探讨超声引导下(25.6_-4-17.2)岁。52例合并肺结核,27例合并结核经皮穿刺活检对颈部淋巴结病变的诊断与鉴别诊断价性8、胸膜炎,7例HIV阳性。化验检查结核菌素强阳值,本研究回顾分析18
3、unlai,LiXiaolin,eta1.DepartmentofUltrasoundinSouthBuilding。ChinesePLAGeneralHospita1.Beijing100853ChinaAbstract:ObjectiveToinvestigatethevalueofultrasound-guidedpercutaneouscore-needlebiopsy(US-PCNB)ofindiagnosisofnecklymphadenopathy.MethodsOnehundredandeighty-ninepatientswithneck
4、lymphadenopathyunderwentultrasound—guidedbiopsyusingcoarseneedle(16Gor18G),Satisfiedsamplingwasdefinedastheacquiredtissuebeinglargeenoughtogiveadefinitediagnosis,otherwiseasdissatisfiedsampling.Finaldiagnosiswasmadebasedonpathologywastakenasthefinaldiagnosis.ResultsTherewere184sat
5、isfiedmaterialsin189cases,fromwhichdefinitehistologicdiagnosiscouldbegiven,Thesatisfactoryrateofsamplingwas97.4.Thesensitivity,spe—cificityandaccuracyofUS-PCNB16Gand18Gindiagnosisofnecklymphaden-opathywere100.96,98and100,94,97.Therewasnosignificantdifferentbetweenthetwotypesofneed
6、lesintheeligibilityofsampling(P>O.05).However,thesensitivity,specificityandaccuracyindexofUSinthatwas83,93,88respectively.Therewassignificantdifferent(P<0.05).ConclusionsUS-PCNBissensitiveandaccurateindiagnosisofnecklymphadenopathywithalowerincidenceofcomplication,itisaneffectivet
7、echniqueinconfirmingthediagnosisofnecklymphadenopathy.Keywords:Ultrasoundguided。Biopsy,Lymphnode,Diagnosticvalue颈部淋巴结肿大是一种常见的病理现象,能反映病研究所189例颈部淋巴结肿大患者的超声检查结淋巴结自身或身体其他部位的多种病变。因此,颈部果,男125例,女64例,年龄4~73岁,平均包块治疗前明确其性质非常重要。为探讨超声引导下(25.6_-4-17.2)岁。52例合并肺结核,27例合并结核经皮穿刺活检对颈部淋巴结病变的诊断与鉴别诊断价性
8、胸膜炎,7例HIV阳性。化验检查结核菌素强阳值,本研究回顾分析18
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