高频彩超在引导颈部包块活检中的临床价值(1)
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【摘要】 目的 探讨影响高频彩超引导颈部包块穿刺活检取材成功率的因素及其安全性。方法 回顾性分析我科450例高频彩超引导颈部包块经皮穿刺活检资料,依据病理学诊断结果,分析影响取材成功率的因素;记录出现的并发症。结果 颈部包块越小,取材成功率越低,直径<1 cm包块与1~2 cm包块间比较(86.27%vs 96.93%),差异有统计学意义(P<0.05);但直径1~2 cm包块与直径>2 cm包块间比较(96.93%vs 97.08%),差异无统计学意义(P>0.05)。15 mm组织条长度取材成功率(88.62%)与22 mm组织条长度取材成功率(98.47%)比较,差异有统计学意义(P<0.05)。16G活检针取材成功率(96.68%)和18G活检针取材成功率(94.41%)比较,差异无统计学意义(P>0.05)。本组病例穿刺过程中有部分患者感觉胀痛,无一例出现大出血及其他严重并发症。结论 高频彩超引导颈部包块自动活检是一种安全、简便、价廉、微创取材方法,对颈部包块的诊断与治疗具有重要的应用价值。
【关键词】超声检查;彩色多普勒;颈部包块;穿刺活检
The clinical value of high frequency color ultrasound-guided biopsy in neck mass
YANG Hai-yun,GAO Chuang-jiang,OU Bing,et al.Department of Ultrasound,the Second Affiliated Hospital of Sun Yat-sen University,Guangzhou 510120,China
【Abstract】 Objective To explore the biopsy success rate and safety of high frequency color ultrasound-guided biopsy in neck mass.Methods Four hundred and fifty cases of high frequency color ultrasound-guided biopsy in neck mass were analyzed retrospectively.According to histopathologic results,the biopsy success rate was discussed,and complications were recorded.Results ①Biopsy success rate was lower in smaller mass.Biopsy success rate of three groups were:86.27%in group A(<1 cm),96.93%in group B(1~2 cm),and 97.08%in group C(>2 cm).There was significant difference between group A and group B(86.27%vs 96.93%,χ2=7.818,P=0.005),and there was no significant difference between group B and group C(96.93%vs 97.08%,χ2=0.007,P=0.933).②There was significant difference between 15 mm and 22 mm sample(88.62%vs 98.47%,χ2=21.457,P<0.001).③There was no significant difference between 16G and 18G needle(96.68%vs 94.41%,χ2=1.368,P=0.242).④The complication was pain slightly in part of patients,and no severe complication was found.Conclusion High frequency color ultrasound-guided biopsy in neck mass is a safety,easy,inexpensive and minimally invasive sampling method.It can provide important information in the diagnosis and treatment of the neck mass.
【Key words】
Ultrasonography; Color Doppler; Neck mass; Biopsy
颈部包块是常见的临床症状,是许多疾病的局部表现,明确其性质对疾病的诊断与治疗有着重要意义 ......
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