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目的:探讨超声引导下经皮穿刺组织学活检在面颈部肿物诊断中的价值。方法:59例面颈部肿物患者,其中面部8例,口底区13例,颈部38例。病变范围最大35 mm×58 mm,最小8 mm×11 mm。用自动活检枪和活检切割针行超声引导下经皮穿刺活检。观察诊断结果及并发症。结果:本组穿刺成功率100%,取材满意率96.61%(57/59)。50例获得明确病理诊断,其中炎症14例,良性肿瘤10例,恶性肿瘤26例;其余9例非确诊性结论中有5例描述性结论和4例提示性诊断。穿刺后有2例(3.39%)患者出现穿刺区明显疼痛,未发现有其它严重并发症。结论:超声引导经皮穿刺面颈部肿物组织学活检是一种简便、安全、有效且诊断准确性高的方法。
Objective: To investigate the value of ultrasound-guided percutaneous biopsy in the diagnosis of facial and cervical mass. Methods: 59 cases of face and neck tumor patients, including 8 cases of face, mouth area 13 cases, 38 cases of neck. Lesions range up to 35 mm × 58 mm, the smallest 8 mm × 11 mm. Percutaneous needle biopsy guided by automatic biopsy gun and biopsy needle. Observe the diagnosis and complications. Results: The successful rate of puncture in this group was 100%, satisfaction rate was 96.61% (57/59). Fifty patients had definite pathological diagnosis, including 14 cases of inflammation, 10 cases of benign tumors and 26 cases of malignant tumors. Of the remaining 9 cases, 5 cases were nonstructural findings and 4 cases were diagnosed as conclusive. Two punctured patients (3.39%) had significant pain in the puncture area and no other serious complications were found. Conclusion: Ultrasound-guided percutaneous needle neck and neck histological biopsy is a simple, safe, effective and accurate diagnostic method.