本文選題：淋巴結(jié)腫大 + 超聲��； 參考：《吉林大學(xué)》2013年碩士論文

【摘要】：目的：通過(guò)對(duì)超聲引導(dǎo)下頸部淋巴結(jié)穿刺活檢的應(yīng)用研究，進(jìn)一步探討并評(píng)價(jià)此項(xiàng)技術(shù)對(duì)頸部腫大淋巴結(jié)診斷的應(yīng)用價(jià)值，總結(jié)此項(xiàng)技術(shù)的操作經(jīng)驗(yàn)，為此項(xiàng)技術(shù)的臨床應(yīng)用提供經(jīng)驗(yàn)和參考資料。 方法：以2010年9月~2013年2月期間在吉林大學(xué)白求恩第一醫(yī)院住院的、診斷為頸部淋巴結(jié)腫大的96例患者為研究對(duì)象。對(duì)96例患者進(jìn)行了超聲引導(dǎo)下頸部腫大淋巴結(jié)穿刺活檢。對(duì)96例患者的病理標(biāo)本取材效果，腫大淋巴結(jié)的病理結(jié)果，腫大淋巴結(jié)超聲診斷與病理診斷結(jié)果對(duì)照，以及手術(shù)操作經(jīng)驗(yàn)等方面進(jìn)行總結(jié)分析。 結(jié)果：①對(duì)96例患者共穿刺取材400針，其中364針穿刺所取的組織適合病理組織學(xué)檢查，穿刺取材成功率為91.0％。②96例標(biāo)本中病理明確診斷94例，未確診2例，診斷率為97.9%。③與術(shù)后病理檢查結(jié)果比較，超聲引導(dǎo)下穿刺活檢診斷淋巴結(jié)惡性病變72例，符合率100%（72/72）；診斷淋巴結(jié)良性病變22例，符合率91.7%（22/24）。④淋巴結(jié)惡性病變中，最多見(jiàn)的是轉(zhuǎn)移癌和淋巴瘤；淋巴結(jié)良性病變中最多見(jiàn)的是淋巴結(jié)炎癥。 結(jié)論：①超聲引導(dǎo)下頸部腫大淋巴結(jié)穿刺活檢術(shù)取材成功率高，取得的病理標(biāo)本，基本可以滿(mǎn)足病理診斷的要求。②超聲引導(dǎo)下穿刺活檢對(duì)頸部腫大淋巴結(jié)診斷符合率高，可滿(mǎn)足臨床診斷的需要。③本項(xiàng)目研究病例中，頸部淋巴結(jié)惡性病變占絕大部分，其中轉(zhuǎn)移癌和淋巴瘤所占比例最大。
[Abstract]:Objective: to study the application of ultrasound guided cervical lymph node biopsy, and to evaluate the value of this technique in the diagnosis of cervical enlarged lymph nodes, and to summarize the experience of this technique. Methods: from September 2010 to February 2013, 96 patients who were hospitalized in Bai Qiuen first Hospital of Jilin University and diagnosed as cervical lymphadenopathy were studied. 96 cases of cervical lymph node biopsy guided by ultrasound were performed. The results of pathological specimens, pathological results of enlarged lymph nodes, ultrasonic diagnosis of enlarged lymph nodes and pathological diagnosis of 96 patients were compared. Results 400 needles were taken from 96 patients, of which 364 needles were suitable for histopathological examination. The successful rate of biopsy was 91.0.296 cases. 94 cases were diagnosed by pathology, 2 cases were undiagnosed, and the diagnostic rate was 97.9.3. 72 cases of malignant lymphadenopathy were diagnosed by ultrasound-guided biopsy. The coincidence rate was 100 / 72 / 72.22 cases of benign lymphadenopathy were diagnosed, the coincidence rate was 91.7% and 22% 24.4% of malignant lymph node lesions, the most common cases were metastatic carcinoma and lymphoma. Lymph node inflammation is the most common benign lesion of lymph nodes. Conclusion the successful rate of biopsy for cervical lymph nodes is high under the guidance of 1: 1 ultrasound, and the pathological specimens are obtained. It can basically meet the requirement of pathological diagnosis. 2 Ultrasound-guided biopsy has a high coincidence rate for the diagnosis of enlarged cervical lymph nodes. In this study case, the malignant lesions of cervical lymph nodes accounted for the majority of the cases, which can meet the needs of clinical diagnosis. Metastasis and lymphoma accounted for the largest proportion.
【學(xué)位授予單位】：吉林大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2013
【分類(lèi)號(hào)】：R445.1

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本文編號(hào)：2005902