Application value of ultrasound-guided biopsy of cervical lymph nodes by-freehand

KUANG Yongpei; XIE Yuhuan; CHEN Peifen; LAI Jinyu; HE Wenxu

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Application value of ultrasound-guided biopsy of cervical lymph nodes by-freehand

更新时间：2025-12-15

- Application value of ultrasound-guided biopsy of cervical lymph nodes by-freehand
- Vol. 24, Issue 1, Pages: 55-58(2015)
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- Published Online：27 August 2015，
  
  Published：27 August 2015
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邝永培,谢玉环,陈沛芬,等. 超声引导颈部淋巴结徒手穿刺活检的应用价值[J]. 肿瘤影像学, 2015, 24(1): 55-58
DOI：

邝永培,谢玉环,陈沛芬,等. 超声引导颈部淋巴结徒手穿刺活检的应用价值[J]. 肿瘤影像学, 2015, 24(1): 55-58 DOI：

摘要

目的：

探讨超声引导下颈部淋巴结病变徒手穿刺活检的应用价值与关键技术。

方法：

2011年3月2013年3月对42例不明原因颈部淋巴结增大患者在超声引导下应用18 G或16 G组织切割针经皮徒手技术活检。穿刺靶淋巴结大小为1.0 cm0.6 cm～8.6 cm5.0 cm，每例穿刺2~5针。所取组织条能满足病理学定性诊断要求视为取材成功。

结果：

39例(92.9%)所取组织量能满足病理定性诊断要求。穿刺组织病理学结果：淋巴结恶性病变12例(28.6%，其中转移性癌7例、恶性淋巴瘤5例)；良性病变26例(61.9%，其中淋巴结结核14例、反应性增生5例、慢性肉芽肿性炎4例、组织坏死性淋巴结炎3例)；性质不确定1例(2.4%)。

结论：

超声引导下颈部淋巴结徒手活检技术具有实时监视、精准、灵活、微创等优点，在颈部淋巴结增大的定性诊断中具有很大的应用价值。

Abstract

Objective:

To investigate the application value and the key technique of ultrasound-guided percutaneous biopsy of neck lymphadenopathy by freehand.

Methods:

Forty-two patients with neck lymphadenopathy of unknown cause from March 2011 to March 2013 underwent ultrasound-guided percutaneous biopsy using 18 G or 16 G tissue biopsy needle by freehand

The size of 1ymph nodes was 1.0 cm0.6 cm-8.6 cm5.0 cm. Each patient was punctured 2 to 5 times

A biopsy was considered technically successful if a targeted tissue was obtained and it could meet the requirement of qualitatively pathologic diagnosis.

Results

: The rate of technically successful biopsy which could meet the requirement of qualitatively

pathologic diagnosis was 92.9%

The pathological results showed that lymph nodes in 12 patients (28.6%) were malignant

including metastatic carcinoma in 7 patients and malignant lymphoma in 5 patients

while lymph nodes in 26 patients (61.9%) were benign

including tuberculous lymphadenitis in 14 patients

reactive hyperplasia in 5 patients

chronic granulomatous inflammation in 4 patients and histiocytic necrotizingly lymphadenitis in 3 patients. There was one case with uncertainty (2.4%).

Conclusion:

Ultrasound-guided percutaneous biopsy by freehand is real-time

accurate

flexible and minimally invasive. It has high value in diagnosis of cervical lymphadenopathy.

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