超声造影在颈部淋巴结结核穿刺活检术中的应用价值  

Application of contrast-enhanced ultrasound in needle biopsy of tuberculous cervical lymph node

作　　者：张文智[1] 杨高怡[1] 裴宇[2] 孟君[1] 李晓虹[3] 

机构地区：[1]浙江省中西医结合医院 杭州市红十字会医院超声科, 310003 [2] 杭州市第三人民医院儿科 [3]浙江省中西医结合医院 杭州市红十字会医院病理科, 310003

出　　处：《中华耳鼻咽喉头颈外科杂志》2014年第3期240-242,共3页Chinese Journal of Otorhinolaryngology Head and Neck Surgery

基　　金：基金项目：杭州市医药卫生科技计划项目（2013A39）;杭州市医药卫生科技计划项目（20108028）

摘　　要：目的 探讨超声造影在颈部淋巴结结核穿刺活检术中的应用价值.方法 79例颈部淋巴结患者分为2组：A组在超声引导下行穿刺活检术；B组经超声造影后,确定穿刺活检目标淋巴结及穿刺点,行穿刺活检术.结果 A组23例患者的23枚病变淋巴结穿刺活检,12枚取材完整（52.1％）,病理检查确定诊断17枚（73.9％）.B组56例患者经超声造影后选择的56枚病变淋巴结穿刺活检,55枚取材完整（98.2％）,病理检查全部确定诊断（1oo.0％）.B组较A组穿刺取得活检组织完整率和病理检查确定诊断率明显提高（x2值分别为23.37和12.31,P值均＜0.05）.穿刺活检未能明确诊断的6例A组患者,再次经超声造影重新选择淋巴结穿刺活检而明确诊断.结论 超声造影应用于结核性颈部淋巴结穿刺活检术,可明显提高穿刺活检术中取材完整率和病理检查确定诊断率.Objective To study the value of contrast-enhanced ultrasound in tuberculous cervical lymph node biopsy.Methods Seventy-nine patients with cervical lymph node were divided into two groups.The lymph nodes of group A were used as real-time ultrasound guided biopsy; the lymph nodes of group B were contrast-enhanced ultrasound firstly to determine the target lymph node and the puncture point,then were detected with needle biopsy.Results Group A：for the 23 lymph nodes of 23 patients,the rate of intact tissue was 52.1% and the positive rate of pathological diagnosis was 73.9%.Group B：for the 56 lymph uodes of 56 patients,the rate of intact tissue was 98.2% and the positive rate of pathological diagnosis was 100% （Chi square value was 23.37 and 12.31,P 〈 0.05）.Conclusion The application of contrast-enhanced ultrasound before cervical lymph node biopsy can obviously improve the rate of intact tissue and the positive rate of pathological diagnosis.

关 键 词：超声检查 多普勒 结核 淋巴结 活组织检查 针吸 

分 类 号：R445.1[医药卫生—影像医学与核医学]