高频超声引导14G粗针活检在淋巴瘤诊断中的应用
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Application of high-frequency US-guided 14-gauge core-needle biopsy in diagnosing lymphoma
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    目的:探讨高频超声引导下14G粗针活检在淋巴瘤确诊和分型中的应用价值-方法:回顾性分析30例行高频超声引导下14G粗针活检术,且经病理证实为淋巴瘤患者的超声-临床和病理资料-穿刺部位包括颈部-锁骨上-腋下-腹股沟及乳腺-竖直肌-臀部-背部-大腿根部-病理检查包括HE染色及免疫组化-结果:高频超声引导14G粗针活检加病理检查确诊为淋巴瘤28例(均为非霍杰金淋巴瘤,NHL),诊断阳性率93.3%(28/30),假阴性2例-穿刺确诊病例中26例获得淋巴瘤的组织学分型,占92.9%(26/28),另2例仅诊断为淋巴瘤,未做出具体分型-30例均未发现严重并发症-结论:高频超声引导下14G粗针活检术对淋巴瘤的确诊和分型具有确诊率高-创伤小-取材成功率高-并发症少等优势,具有较高的临床应用和推广价值-

    Abstract:

    Objective: To evaluate the value of high-frequency ultrasonography(US)-guided 14- gauge(14G)core-needle biopsy(CNB)in diagnosing and typing lymphoma. Methods: Retrospective analysis was made on 30 patients diagnosed as lymphoma by pathology,and all of them had performed high-frequency US-guided 14G CNB. The locations of lesion involved neck,supra-clavicle,armpit,inguen,mammary glands,erect muscles,gluteal region,pars dorsalis and root of thigh. Pathology examination included hematoxylin and eosin staining and immunhistochemical assays. Results: Twenty-eight patients were diagnosed as non-hodgkin lymphoma(NHL)by high-frequency US-guided 14G CNB with accuracy of 93.3%(28/30),and two false-negative patients were found. We got the histologic subclassification in 26 cases of the 28 patients diagnosed as lymphomas on the basis of high-frequency US-guided 14G CNB. There were no complications of severity found in our study. Conclusion: The technique of high-frequency US-guided 14G CNB in diagnosing lymphoma has high diagnostic accuracy,high success rate,and low complication rate,and has important value in clinical application.

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何 英,季秀珍,徐小红,陈旭东,尹海兵,吴云松,蒋晓娟.高频超声引导14G粗针活检在淋巴瘤诊断中的应用[J].南京医科大学学报(自然科学版),2011,(1):99-102

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  • 收稿日期:2010-07-07
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