超声、粗针穿刺活检在颈部淋巴结良恶性鉴别诊断中的应用  

Application of ultrasound and fine needle puncture in the diagnosis of benign and malignant cervical lymph nodes

作　　者：孟丽 Meng Li(Department of Ultrasound Diagnosis,Xixian People's Hospital,Xinyang 464300,Henan,China)

机构地区：[1]息县人民医院超声诊断科,河南信阳464300

出　　处：《四川生理科学杂志》2025年第3期575-577,595,共4页

摘　　要：目的:探究超声、粗针穿刺联合诊断在颈部淋巴结良恶性中的临床意义。方法:选取2023年5月~2024年5月期间于本院就诊的颈部淋巴结病变患者84例作为研究对象。根据手术或病理活检结果,将患者分为恶性组(n=34例)和良性组(n=50例)。分析比较两组的超声影像学特征,统计粗针穿刺结果。分析比较不同检查方式的诊断结果及诊断效能。结果:84例患者均发现颈部淋巴结肿大,以手术或病理活检结果为金标准,良性淋巴结34例,恶性淋巴结50例。两组L/S、淋巴结门、血流类型(除中央型)、内部回声、边界及RI比较均有显著差异(P<0.05)。粗针穿刺结果显示,恶性组粗针穿刺阳性率显著高于良性组,(P<0.05)。超声联合粗针穿刺诊断的灵敏度为94.12%,显著高于单一诊断;超声联合粗针穿刺诊断的漏诊率为5.88%,显著低于单一诊断(P<0.05)。结论:超声引导下粗针穿刺活检可提高对肿大淋巴结性质诊断的灵敏度、降低漏诊率。Objective:To explore the clinical significance of ultrasound combined with crude needle puncture in the diagnosis of benign and malignant cervical lymph nodes.Methods:84 patients with cervical lymphadenopathy who were treated in our hospital from May 2023 to May 2024 were selected as the study objects.Patients were divided into malignant group(n=34 cases)and benign group(n=50 cases)according to surgical or pathological biopsy results.The ultrasound imaging features of the two groups were analyzed and compared,and the results of crude needle puncture were statistically analyzed.Analyze and compare the diagnostic results and diagnostic efficiency of different examination methods.Results:84 patients were found to have cervical lymph node enlargement,with surgical or pathological biopsy results as the gold standard,34 benign lymph nodes and 50 malignant lymph nodes.There were significant differences in L/S,lymph node portal,blood flow type(except central type),internal echo,boundary and RI between the two groups(P<0.05).The results of crude needle puncture showed that the positive rate of crude needle puncture in malignant group was significantly higher than that in benign group(P<0.05).The sensitivity of ultrasound combined with crude needle puncture was 94.12%,which was significantly higher than that of single diagnosis.The missed diagnosis rate of ultrasound combined with crude needle puncture was 5.88%,which was significantly lower than that of single diagnosis(P<0.05).Conclusion:Ultrasonography combined with crude needle puncture can improve the sensitivity and reduce the rate of missed diagnosis of enlarged lymph nodes.

关 键 词：颈部淋巴结 超声引导 粗针穿刺 鉴别诊断 良恶性 

分 类 号：R73[医药卫生—肿瘤]