超声造影在辅助颈部不同大小肿大淋巴结穿刺活检中的价值  

The Value of Ultrasonic Contrast in Aiding Puncture Biopsy of Enlarged Lymph Nodes of Different Sizes in the Neck

作　　者：韩彬[1] HAN Bin(Department of Ultrasound,Liyang People's Hospital,Liyang,Jiangsu Province,213300 China)

机构地区：[1]溧阳市人民医院超声科,江苏溧阳213300

出　　处：《世界复合医学》2023年第1期72-74,78,共4页World Journal of Complex Medicine

摘　　要：目的 分析超声造影在辅助颈部不同大小肿大淋巴结穿刺活检中的应用价值。方法 选取2019年9月—2022年3月于溧阳市人民医院行颈部肿大淋巴结穿刺活检的106例患者为研究对象,对其临床资料进行回顾性分析,根据检查方法不同将其分为观察组(n=53)和对照组(n=53),对照组给予常规超声引导穿刺活检,观察组采取超声造影引导穿刺活检,对两种检查的不同淋巴结直径取材成功率、诊断结果进行统计比较。结果 观察组1.3~2.3 cm穿刺取材成功率明显高于对照组,差异有统计学意义(P<0.05);观察组<1.3 cm、>2.3 cm穿刺取材成功率与对照组比较,差异无统计学意义(P>0.05)。以手术病理为金标准,观察组诊断阳性39例,阴性1例,超声造影引导穿刺活检与金标准诊断一致性较好(Kappa=0.898);对照组诊断阳性30例,阴性5例,常规超声引导穿刺活检与金标准诊断一致性中等(Kappa=0.433)。结论 超声造影在辅助颈部肿大淋巴结穿刺活检中的应用价值非常高,可显著提高取材成功率,且能够准确鉴别诊断淋巴结性质,为临床治疗方案的制订提供了可靠的指导依据。Objective To analyze the application value of ultrasonic contrast in aiding puncture biopsy of enlarged lymph nodes with different size neck enlargement.Methods 106 patients who underwent neck enlarged lymph node aspiration biopsy in Liyang People's Hospital from September 2019 to March 2022 were selected for the study objects,and their clinical data were retrospectively analyzed.They were divided into observation group(n=53)and control group(n=53)according to the different examination methods.The control group was given conventional ultrasound-guided aspiration biopsy,and the observation group was given ultrasonic contrast-guided aspiration biopsy.The success rates of sampling and diagnostic results of different lymph node diameters of the two examinations were statistically compared.Results The success rate of 1.3-2.3 cm puncture biopsy in the observation group was significantly higher than that in the control group,the difference was statistically significant(P<0.05).Compared the success rates of<1.3 cm and>2.3 cm puncture retrieval between the observation group and the control group,the difference was not statistically significant(P>0.05).Using surgical pathology as the gold standard,the observation group had a positive diagnosis of 39 cases and a negative diagnosis of 1 case.The consistency between ultrasound guided puncture biopsy and the gold standard diagnosis was good(Kappa=0.898);In the control group,30 cases were diagnosed positive and 5 cases were negative.The consistency between routine ultrasound guided biopsy and gold standard diagnosis was moderate(Kappa=0.433).Conclusion The application of ultrasonic contrast in aided cervical enlarged lymph node aspiration biopsy is of great value,which can significantly improve the success rate of sampling,and can accurately identify and diagnose the nature of lymph nodes,providing a reliable guideline for the development of clinical treatment plans.

关 键 词：超声造影 颈部肿大 淋巴结 穿刺活检 

分 类 号：R445[医药卫生—影像医学与核医学]