CAJ | 학술논문

目的探讨影响高频彩超引导颈部包块穿刺活检取材成功率的因素及其安全性.方法回顾性分析我科450例高频彩超引导颈部包块经皮穿刺活检资料,依据病理学诊断结果,分析影响取材成功率的因素;记录出现的并发症.结果颈部包块越小,取材成功率越低,直径＜1 cm包块与1～2 cm包块间比较(86.27% vs 96.93%),差异有统计学意义(P＜0.05);但直径1～2 cm包块与直径＞2 cm包块间比较(96.93% vs 97.08%),差异无统计学意义(P＞0.05).15 mm组织条长度取材成功率(88.62%)与22 mm组织条长度取材成功率(98.47%)比较,差异有统计学意义(P＜0.05).16G活检针取材成功率(96.68%)和18G活检针取材成功率(94.41%)比较,差异无统计学意义(P＞0.05).本组病例穿刺过程中有部分患者感觉胀痛,无一例出现大出血及其他严重并发症.结论高频彩超引导颈部包块自动活检是一种安全、简便、价廉、微创取材方法,对颈部包块的诊断与治疗具有重要的应用价值.
목적 탐토영향고빈채초인도경부포괴천자활검취재성공솔적인소급기안전성.방법 회고성분석아과450례고빈채초인도경부포괴경피천자활검자료,의거병이학진단결과,분석영향취재성공솔적인소;기록출현적병발증.결과 경부포괴월소,취재성공솔월저,직경＜1 cm포괴여1～2 cm포괴간비교(86.27% vs 96.93%),차이유통계학의의(P＜0.05);단직경1～2 cm포괴여직경＞2 cm포괴간비교(96.93% vs 97.08%),차이무통계학의의(P＞0.05).15 mm조직조장도취재성공솔(88.62%)여22 mm조직조장도취재성공솔(98.47%)비교,차이유통계학의의(P＜0.05).16G활검침취재성공솔(96.68%)화18G활검침취재성공솔(94.41%)비교,차이무통계학의의(P＞0.05).본조병례천자과정중유부분환자감각창통,무일례출현대출혈급기타엄중병발증.결론 고빈채초인도경부포괴자동활검시일충안전、간편、개렴、미창취재방법,대경부포괴적진단여치료구유중요적응용개치.
Objective To explore the biopsy success rate and safety of high frequency color ultrasoundguided biopsy in neck mass.Methods Four hundred and fifty cases of high frequency color ultrasound-guided biopsy in neck mass were analyzed retrospectively.According to histopathologic results,the biopsy success rate was discussed,and complications were recorded.Results ①Biopsy success rate was lower in smaller mass.Biopsy success rate of three groups were:86.27％ in group A(＜1cm),96.93 ％ in group B(1 ～ 2 cm),and 97.08％ in group C(＞2cm).There was significant difference between group A and group B(86.27％ vs 96.93％,x2= 7.818,P =0.005),and there was no significant difference between group B and group C (96.93％ vs 97.08％,x2 = 0.007,P = 0.933).②There was significant difference between 15 mm and 22 mm sample( 88.62％ vs 98.47％,x2= 21.457,P ＜ 0.001).③There was no significant difference between 16G and 18G needle(96.68％vs 94.41％,x2=1.368,P =0.242).④The complication was pain slightly in part of patients,and no severe complication was found.ConclusionHigh frequency color ultrasound-guided biopsy in neck mass is a safety,easy,inexpensive and minimally invasive sampling method.It can provide important information in the diagnosis and treatment of the neck mass.