中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2014年
28期
59-60,75
,共3页
浅表淋巴结%声辐射力弹性成像%穿刺活检
淺錶淋巴結%聲輻射力彈性成像%穿刺活檢
천표림파결%성복사력탄성성상%천자활검
Superficial lymph nodes%Acoustic radiation force elastography%Aspiration biopsy
目的：探讨在浅表淋巴结活穿刺活检中应用辐射力弹性成像引导的临床价值。方法选取2013年1月-2014年4月该院收治的存在恶性肿瘤病史并伴随浅表淋巴结肿大患者116例,随机分为观察组与对照组各58例,对照组样本给予常规引导下的穿刺活检,观察组样本应用声辐射力弹性成像引导下的穿刺活检。结果观察组与对照组患者的取样成功率分别为100.0%与89.6%,诊断准确率分别为94.8%与84.5%,组间比较差异有统计学意义(P<0.05)。观察组中良性与恶性淋巴结表现患者的SWV均值分别为(1.69±0.34)m/s与(4.13±0.50)m/s,组间比较统计学意义(P<0.05)。结论采用声辐射力弹性成像引导下开展淋巴穿刺活检,能够更好地指导穿刺活检实施,提高穿刺成功率,并且可以初步判断淋巴结性质。
目的：探討在淺錶淋巴結活穿刺活檢中應用輻射力彈性成像引導的臨床價值。方法選取2013年1月-2014年4月該院收治的存在噁性腫瘤病史併伴隨淺錶淋巴結腫大患者116例,隨機分為觀察組與對照組各58例,對照組樣本給予常規引導下的穿刺活檢,觀察組樣本應用聲輻射力彈性成像引導下的穿刺活檢。結果觀察組與對照組患者的取樣成功率分彆為100.0%與89.6%,診斷準確率分彆為94.8%與84.5%,組間比較差異有統計學意義(P<0.05)。觀察組中良性與噁性淋巴結錶現患者的SWV均值分彆為(1.69±0.34)m/s與(4.13±0.50)m/s,組間比較統計學意義(P<0.05)。結論採用聲輻射力彈性成像引導下開展淋巴穿刺活檢,能夠更好地指導穿刺活檢實施,提高穿刺成功率,併且可以初步判斷淋巴結性質。
목적：탐토재천표림파결활천자활검중응용복사력탄성성상인도적림상개치。방법선취2013년1월-2014년4월해원수치적존재악성종류병사병반수천표림파결종대환자116례,수궤분위관찰조여대조조각58례,대조조양본급여상규인도하적천자활검,관찰조양본응용성복사력탄성성상인도하적천자활검。결과관찰조여대조조환자적취양성공솔분별위100.0%여89.6%,진단준학솔분별위94.8%여84.5%,조간비교차이유통계학의의(P<0.05)。관찰조중량성여악성림파결표현환자적SWV균치분별위(1.69±0.34)m/s여(4.13±0.50)m/s,조간비교통계학의의(P<0.05)。결론채용성복사력탄성성상인도하개전림파천자활검,능구경호지지도천자활검실시,제고천자성공솔,병차가이초보판단림파결성질。
Objective To investigate the clinical value of radiation force elastography guidance applied to superficial lymph node biopsy. Methods 116 patients with the history of malignant tumor accompanied by superficial lymph node enlargement admitted in our hospital from January 2013 to April 2014 were selected and randomly divided into the observation group and the control group with 58 cases in each. The control group were treated with the conventional guided biopsy, and the observation group were treated with biopsy guided by acoustic radiation force elastography. Results The success rate of the sampling of patients in the observation group and the control group was 100.0% and 89.6%, respectively, and the diagnostic accuracy of the two groups was 94.8% and 84.5%, respectively, the differences between the two groups were statistically significant (P<0.05). The SWV mean performance of the patients with benign and malignant lymph nodes in the observation group respectively was (1.69 ± 0.34) m/s and (4.13 ± 0.50) m/s with statistically significant difference (P<0.05). Conclusion Acoustic radiation force elastography guided lymph node biopsy can better guide the implementation of aspiration biopsy, improve the success rate of puncture, and determine the lymph node properties preliminarily.
