[1]刘士榕 谭石* 崔立刚 贾建文 刘昊①.手动粗针与全自动活检浅表淋巴结的诊断价值比较[J].中国微创外科杂志,2019,01(1):22-25.
　Liu Shirong,Tan Shi,Cui Ligang,et al.Value of Ultrasoundguided Core Needle Biopsy of Superficial Lymph Nodes: Comparison Between Manual and Automatic Manner[J].Chinese Journal of Minimally Invasive Surgery,2019,01(1):22-25.
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手动粗针与全自动活检浅表淋巴结的诊断价值比较()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2019年1期
页码:
22-25
栏目:
临床研究
出版日期:
2019-01-25

文章信息/Info

Title:
Value of Ultrasoundguided Core Needle Biopsy of Superficial Lymph Nodes: Comparison Between Manual and Automatic Manner
作者:
刘士榕 谭石* 崔立刚 贾建文 刘昊①
（北京大学第三医院超声科，北京100191）
Author(s):
Liu Shirong;  Tan Shi;  Cui Ligang;  et al.
Department of Ultrasound, Peking University Third Hospital, Beijing 100191, China
关键词:
活组织检查; 手动; 超声引导; 淋巴结
Keywords:
Biopsy; Manual; Ultrasoundguided; Lymph node
文献标志码:
A
摘要:
目的比较超声引导下手动粗针穿刺活检（manual core needle biopsy，MCNB）与全自动切割式活检（automatic cutting needle biopsy，ACNB）在浅表淋巴结活检中的应用价值。方法对我院2014年6月～2016年4月浅表淋巴结肿大150例，全自动切割式活检枪穿刺2次，然后单纯使用活检针手动取材1次，6例毗邻神经或大血管者仅行MCNB。获取的组织条分别标记后送病理。比较2种方法的取材成功率、特异性病变检出率及并发症发生率。结果6例因毗邻重要结构仅行手动活检，ACNB 144例，取材成功139例（96.5%）。MCNB 150例，取材成功139例（92.7%），2组取材成功率差异无统计学意义（χ2=2.218，P=0.145）。2种方法均获得明确病理诊断的淋巴结128例，其中ACNB与MCNB的特异性病变检出分别为96例（75.0%）和112例（87.5%），差异有显著性（χ2=6.564，P=0.010）。2组均无严重并发症发生。结论ACNB与MCNB用于超声引导下浅表淋巴结活检均具有较高的取材成功率及安全性，MCNB特异性病变检出率更高，且可用于毗邻重要脏器的高风险淋巴结穿刺活检，具有一定的临床价值。
Abstract:
ObjectiveTo compare the value of manual core needle biopsy (MCNB) and automatic cutting needle biopsy (ACNB) in the diagnosis of superficial lymph nodes under ultrasound guidance. MethodsFrom June 2014 to April 2016, 150 patients with superficial lymphadenopathy in our hospital were retrospectively analyzed. The fully automatic cutting biopsy gun puncture was used for 2 times, and then manual biopsy was used for one time. Among them, 6 cases adjacent to nerves or large vessels were only punctured by MCNB. The obtained tissue strips were marked respectively for pathological examination. The rate of successful extraction, the detection rate of specific lesions, and the incidence of complications were compared between the two methods.ResultsThe successful extraction rate was 96.5% (139/144) for ACNB group and 92.7% (139/150) for MCNB group, and the difference between the two groups was not statistically significant (χ2=2.218, P=0.145). For 128 cases of lymph nodes with clear pathological diagnosis by both methods, the detection rate of specific lesions was 75.0% (96/128) vs. 87.5% (112/128) for ACNB and MCNB group, respectively (χ2=6.564, P=0.010). No serious complication was observed in both groups.ConclusionsBoth ACNB and MCNB are effective and safe methods that have high success extraction rate. But MCNB has a higher specific lesion detection rate, and can be used for highrisk lymph node biopsy adjacent to vital organs, which has certain clinical value.

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备注/Memo

备注/Memo:
*通讯作者，Email：tenshi@126.com①（中国民航总医院超声科，北京100123）
更新日期/Last Update: 2019-04-09