磁共振导航下细针穿吸诊断头颈深部肿块的应用价值  

The appliance of MRI navigated fine-Needle aspiration cytology (FNAC) in the diagnosis of the deep lesions in head and neck region

作　　者：何悦[1] 张志愿[1] 孙喜文[2] 田臻[3] 邱蔚六[1] 竺涵光[1] 

机构地区：[1]上海第二医科大学附属第九人民医院口腔医学院口腔颌面外科,上海200011 [2]上海华东医院磁共振室 [3]上海第二医科大学附属第九人民医院口腔病理科,上海200040

出　　处：《中国口腔颌面外科杂志》2004年第3期129-132,共4页China Journal of Oral and Maxillofacial Surgery

摘　　要：目的:评价磁共振导航下细针穿吸诊断头颈深部肿块的应用价值。方法:对12例头颈深部肿块患者行磁共振导航定位引导下细针穿吸细胞学检查,男9例,女3例,年龄15-63岁。肿块位于颞下窝6例,腮腺深叶3例,翼下颌间隙2例,咽旁间隙1例。结果:所有12例肿块经磁共振导航下穿吸针均显示达到肿块中心;穿吸细胞学检查6例与术后病理符合,1例不符:另5例穿吸细胞学为炎症,未进行手术探查,现随访正常。穿吸诊断准确率为91.67％,敏感度为80％,特异度为100％;穿吸过程中无明显并发症。结论:磁共振导航下细针穿吸细胞学检查是一种定位准确、诊断准确率高且安全的检查方法,尤其适应于头颈部深部肿块的诊断。PURPOSE:To evaluate the appliance and value of MRI navigated fine-needle aspiration cytology in the diagnosis of the deep lesions in head and neck region . METHODS: 12 cases of deep masses of head and neck region received fine-needle aspiration cytology (FNAC) under the guidance of MRI. There were 9 males and 3 females,ranging from 15 to 63 years in age. RESULTS:The fine needle of all 12 cases was displayed by the MRI in the center of the masses under the guidance of MRI; the cytological diagnosis of 11 cases was accorded with the pathological and follow-up results, 1 case was unconformity with the pathological diagnosis; the diagnostic accuracy,sensitivity and specificity were 91.67% ,80% and 100%,without obvious complications. CONCLUSIONS:The MRI navigated fine-needle aspiration cytology (FNAC) is a method of diagnosis in the deep masses of the head and neck region with accuracy,safety and precise localization.

关 键 词：磁共振 导航 细针穿吸 细胞学检查 

分 类 号：R445.2[医药卫生—影像医学与核医学]