155例颈部包块手术活检结果分析  

Analysis of operative biopsy results for cervical mass in 155 cases

作　　者：李朋[1] 韦伟[1] 刘巧刿[1] 于志强[1] 

机构地区：[1]北京大学深圳医院甲状腺乳腺外科,广东深圳518036

出　　处：《岭南现代临床外科》2013年第2期138-140,共3页Lingnan Modern Clinics in Surgery

摘　　要：目的探讨部分颈部包块手术活检结果对临床的诊断价值。方法对155例颈部包块病理的临床诊断和手术活检结果进行比较分析,并对临床诊断与病例结果不符合的病例进行了重点分析。结果 155例颈部包块活检结果中,非特异性炎症67例;特异性炎症(结核)21例;恶性肿瘤34例;甲状舌骨囊肿9例;血管瘤4例;淋巴水囊肿5例;神经鞘瘤8例;鳃裂囊肿3例;韧带纤维瘤1例;异位甲状腺2例;食管憩室1例。临床初步诊断与手术活检结果不符合者为47例。结论提高颈部包块的诊断率需要合理的诊疗流程、临床医生经验以及多学科合作,尽量减少因避免漏诊而导致更多的术前判断的假阳性。Objective To study the clinical diagnostic value in the operative biopsy results of cervical mass. Methods A total of 155 cases with cervical mass （suspicious tumor） underwent lumpectomy and the clinical diagnosis and operative biopsy results were analyzed comparatively. Results In the 155 cases of biopsy results, 67 cases were nonspecific inflammation, 21 cases were tuberculosis of cervical lymph nodes, 34 cases were malignant tumors, 9 cases were thyroglossal duct cyst, 4 cases were hemangioma. The rest included lymph water cyst in 5 cases, schwannoma in 8, branchial cleft cyst in 3, desmoid fibroma in one, ectopic thyroid in 2, esophageal diverticulum in one. Forty-seven of 155 cases were misdiagnosed before biopsy examination. Conclusion Reasonable diagnose and treatment process, experience and multidisciplinary cooperation are beneficial to promoting the diagnostic level of cervical mass.

关 键 词：颈部包块 活检 分析 

分 类 号：R653[医药卫生—外科学]