文章摘要
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,2011,(1):99~102
高频超声引导14G粗针活检在淋巴瘤诊断中的应用
Application of high-frequency US-guided 14-gauge core-needle biopsy in diagnosing lymphoma
投稿时间:2010-07-07  
DOI:10.7655
中文关键词: 淋巴瘤  超声  14G  穿刺活检
英文关键词: lymphoma  ultrasound  14 gauge  core-needle biopsy
基金项目:
作者单位
何 英 南通市肿瘤医院超声科,江苏 南通 226361 
季秀珍 南通市肿瘤医院超声科,江苏 南通 226361 
徐小红 南通市肿瘤医院肿瘤科,江苏 南通 226361 
陈旭东 南通市肿瘤医院病理科,江苏 南通 226361 
尹海兵 南通市肿瘤医院病理科,江苏 南通 226361 
吴云松 南通市肿瘤医院超声科,江苏 南通 226361 
蒋晓娟 南通市肿瘤医院超声科,江苏 南通 226361 
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中文摘要:
      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?
英文摘要:
      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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