超声引导下经皮穿刺活检对颈部淋巴结病变的诊断价值  

Value of Ultrasound-guided Percutaneous Core-needle Biopsy for Diagnosing Neck Lymphadenopathy

作　　者：张更臣[1] 李俊来[1] 黎晓林[2] 曹兵生[2] 

机构地区：[1] 解放军总医院南楼超声科,北京市100853 [2] 解放军309医院超声科

出　　处：《中国超声医学杂志》2014年第4期295-298,共4页Chinese Journal of Ultrasound in Medicine

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16 G及18 G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16 G及18 G针穿刺活检对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(P<0.05)。结论超声引导下经皮穿刺活检诊断颈部淋巴结病变的准确度高,并发症低。是临床诊断颈部淋巴结病变的有效方法。Objective To investigate the value of ultrasound-guided percutaneous core-needle biopsy （US-PCNB） of in diagnosis of neck lymphadenopathy. Methods One hundred and eighty-nine patients with neck lymphadenopathy underwent ultrasound-guided biopsy using coarse needle （16G or 18G）,Satisfied sampling was defined as the acquired tissue being large enough to give a definite diagnosis, otherwise as dissatisfied sampling. Final diagnosis was made based on pathology was taken as the final diagnosis. Results There were 184 satisfied materials in 189 cases, from which definite histologic diagnosis could be given, The satisfactory rate of sampling was 97.4%. The sensitivity ,spe- cificity and accuracy of US-PCNB 16G and 18G in diagnosis of neck lymphaden- opathy were 100~ ,96% ,98% and 100~ ,94~,97 ~. There was no significant different between the two types of needles in the eligibility of sampling （P^0.05）. However, the sensitivity, specificity and accuracy index of US in that was 83 %, 93 %, 88 ~ respectively. There was significant different （P^0.05）. Conclusions US-PCNB is sensitive and accurate in diagnosis of neck lymphadenopathy with a lower incidence of complication, it is an effective technique in confirming the diagnosis of neck lymphadenopathy.

关 键 词：超声引导 活组织检查 淋巴结 诊断价值 

分 类 号：R445.1[医药卫生—影像医学与核医学]