南昌大学学报（医学版）
南昌大學學報（醫學版）
남창대학학보（의학판）
ACTA ACADEMIAE MEDICINAE JIANGXI
2015年
1期
23-25,40
,共4页
超声引导%穿刺活检%腮腺区
超聲引導%穿刺活檢%腮腺區
초성인도%천자활검%시선구
ultrasonic guidance%biopsy%parotid region
目的：探讨彩色多普勒超声引导下粗针穿刺活检术（USCB）在腮腺区肿块诊断中的应用价值。方法回顾性地研究2005年8月至2014年3月在南方医科大学附属南方医院行彩超引导下粗针穿刺活检的53例腮腺区肿块患者的病理结果；对其中43例需行手术治疗的患者，将术前穿刺活检病理结果与术后石蜡病理结果对比分析其诊断准确率、特异性和敏感性，所得数据采用 SPSS 17．0软件包进行分析。结果53例患者全部穿刺成功，穿刺成功率为100％，无明显并发症发生；10例腮腺区非肿瘤患者采用保守治疗，效果满意；以术后病理结果为标准， USCB 对腮腺区肿瘤的诊断特异性和敏感性均为100％；良性肿瘤的准确性为96．8％（30／31），恶性肿瘤的准确性为91．7％（11／12），总的准确性为95．3％（41／43），USCB 与术后病理的一致性较高（（Kappa＝0．834）。结论对于腮腺区肿块的诊断，USCB 具有简便、安全、准确的优点，可以避免不必要的手术创伤，可作为腮腺区肿块的常规检查方法。
目的：探討綵色多普勒超聲引導下粗針穿刺活檢術（USCB）在腮腺區腫塊診斷中的應用價值。方法迴顧性地研究2005年8月至2014年3月在南方醫科大學附屬南方醫院行綵超引導下粗針穿刺活檢的53例腮腺區腫塊患者的病理結果；對其中43例需行手術治療的患者，將術前穿刺活檢病理結果與術後石蠟病理結果對比分析其診斷準確率、特異性和敏感性，所得數據採用 SPSS 17．0軟件包進行分析。結果53例患者全部穿刺成功，穿刺成功率為100％，無明顯併髮癥髮生；10例腮腺區非腫瘤患者採用保守治療，效果滿意；以術後病理結果為標準， USCB 對腮腺區腫瘤的診斷特異性和敏感性均為100％；良性腫瘤的準確性為96．8％（30／31），噁性腫瘤的準確性為91．7％（11／12），總的準確性為95．3％（41／43），USCB 與術後病理的一緻性較高（（Kappa＝0．834）。結論對于腮腺區腫塊的診斷，USCB 具有簡便、安全、準確的優點，可以避免不必要的手術創傷，可作為腮腺區腫塊的常規檢查方法。
목적：탐토채색다보륵초성인도하조침천자활검술（USCB）재시선구종괴진단중적응용개치。방법회고성지연구2005년8월지2014년3월재남방의과대학부속남방의원행채초인도하조침천자활검적53례시선구종괴환자적병리결과；대기중43례수행수술치료적환자，장술전천자활검병리결과여술후석사병리결과대비분석기진단준학솔、특이성화민감성，소득수거채용 SPSS 17．0연건포진행분석。결과53례환자전부천자성공，천자성공솔위100％，무명현병발증발생；10례시선구비종류환자채용보수치료，효과만의；이술후병리결과위표준， USCB 대시선구종류적진단특이성화민감성균위100％；량성종류적준학성위96．8％（30／31），악성종류적준학성위91．7％（11／12），총적준학성위95．3％（41／43），USCB 여술후병리적일치성교고（（Kappa＝0．834）。결론대우시선구종괴적진단，USCB 구유간편、안전、준학적우점，가이피면불필요적수술창상，가작위시선구종괴적상규검사방법。
Objective To evaluate the value of color Doppler ultrasound-guided core biopsy (USCB)in the diagnosis of palpable masses in parotid region.Methods Pathologic data of 53 pa-tients with masses in parotid region who underwent USCB in Nanfang Hospital Affiliated to Southern Medical University between August 2005 and March 2014 were retrospectively ana-lyzed.The pathologic results achieved by preoperative USCB were compared with those achieved by postoperative paraffin-embedded tissue pathology in 43 patients who underwent surgical treat-ment to analyze the diagnostic accuracy,specificity and sensitivity of USCB.Data were analyzed u-sing SPSS 17.0 software.Results The USCB was successfully performed and no obvious compli-cations occurred in all the 53 patients.Ten non-tumor patients received conservative treatment and achieved satisfactory results.Using postoperative pathologic results as the standard,both the specificity and sensitivity of USCB were 100% for the diagnosis of masses in parotid region.The diagnostic accuracy was 96.8% (30/31 )for benign tumor and 91.7% (11/12)for malignant tumor.The total accuracy was 95.3% (41/43).The results of USCB were highly consistent with postoperative pathology (Kappa=0.834).Conclusion USCB is a simple,safe and accurate method for the diagnosis of masses in parotid region and can avoid unnecessary surgical trauma.There-fore,USCB may be used as a routine examination procedure in the diagnosis of masses in parotid region.
