CAJ | 학술논문

目的探讨多种检查方法在头颈部原发肿瘤诊断中的应用价值.方法回顾性分析196例未确诊的头颈部肿物初诊患者,所有患者在完成详细的病史询问、仔细的临床体格检查及影像学检查后,对疑为肿瘤部位行活体组织病理检查(简称活检)或穿刺细胞学检查.结果 196例患者中除4例口咽周围肿块的患者行直接穿刺外,余192例均在超声波引导下穿刺.171例(87.2％)患者检出肿瘤细胞:其中通过原发肿瘤部位(鼻咽部)活检确诊31例,通过穿刺细胞学检查确诊106例,通过原发肿瘤部位(鼻咽部)活检和穿刺细胞学检查均确诊34例.140例(71.4％)穿刺细胞学检查见肿瘤细胞,咽后淋巴结、咽旁间隙和口咽周围肿块的肿瘤细胞检出率分别为71.1％ (123/173),66.7％ (10/15),87.5％ (7/8).在获取病理细胞学诊断过程中无一例发生严重并发症.结论间接鼻咽镜活检、MRI及超声波引导穿刺细胞学检查的相互结合,对肿瘤患者的早期诊断、早期治疗具有重要的临床价值.
목적 탐토다충검사방법재두경부원발종류진단중적응용개치.방법 회고성분석196례미학진적두경부종물초진환자,소유환자재완성상세적병사순문、자세적림상체격검사급영상학검사후,대의위종류부위행활체조직병리검사(간칭활검)혹천자세포학검사.결과 196례환자중제4례구인주위종괴적환자행직접천자외,여192례균재초성파인도하천자.171례(87.2％)환자검출종류세포:기중통과원발종류부위(비인부)활검학진31례,통과천자세포학검사학진106례,통과원발종류부위(비인부)활검화천자세포학검사균학진34례.140례(71.4％)천자세포학검사견종류세포,인후림파결、인방간극화구인주위종괴적종류세포검출솔분별위71.1％ (123/173),66.7％ (10/15),87.5％ (7/8).재획취병리세포학진단과정중무일례발생엄중병발증.결론 간접비인경활검、MRI급초성파인도천자세포학검사적상호결합,대종류환자적조기진단、조기치료구유중요적림상개치.
Objective To investigate the role of muhiple diagnostic methods in the head and neck tumor.Methods One hundred and ninety-six patients without definite pathological diagnosis referred from other hospitals were included in this retrospective study.All patients had a biopsy or fine needle aspiration (FNA) of the suspected region after detailed medical history enquiry,physical examination and imaging examination.Results All patients had ultrasound-guided FNA except 4 patients who had direct FNA.One hundred and seventy-one patients (87.2％) were confirmed to have tumor cells by pathological diagnosis,among them,31 patients by biopsy of primary region alone,106 by FNA,and 34 by both.The positive rate of FNA was 71.4％ (140/196) for the whole group,71.1％ (123/173),66.7％ (10/15) and 87.5％ (7/8) for retropharyngeal lymph node subgroup,parapharyngeal space subgroup and oropharynx subgroup.Conclusion The combined use of endoscope,MRI,and ultrasound-guided FNA is useful for the diagnosis of head and neck tumor.