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目的分析超声介导下细针穿刺活检(USFNA)在腮腺肿瘤术前诊断中应用的价值。方法回顾性分析2011年10月至2013年10月间外科就诊的腮腺肿瘤患者120例,所有患者术前均行USFNA诊断,并与术后病理学诊断比较。结果 USFNA定性诊断总相符率为92.5%,与病理学诊断完全一致的总准确率为74.2%。其中良性肿瘤定性诊断相符率为92.9%,准确率为77.4%;恶性肿瘤定性诊断相符率为91.7%,准确率为66.7%。结论 USFNA鉴别良恶性腮腺肿瘤安全快速,准确率高,临床并发症少,是术前重要的常规检查之一。
Objective To analyze the value of ultrasonography guided fine needle aspiration biopsy (USFNA) in preoperative diagnosis of parotid tumors. Methods A retrospective analysis was performed on 120 patients with parotid tumors who were surgically treated between October 2011 and October 2013. All patients underwent USFNA before surgery and were compared with postoperative pathological diagnosis. Results The overall coincidence rate of qualitative diagnosis of USFNA was 92.5%, which was consistent with the pathological diagnosis of total accuracy of 74.2%. The coincidence rate of qualitative diagnosis of benign tumors was 92.9% and the accuracy rate was 77.4%. The coincidence rate of qualitative diagnosis of malignant tumors was 91.7% and the accuracy rate was 66.7%. Conclusions USFNA is one of the most important preoperative routine tests for the differential diagnosis of benign and malignant parotid tumors, which is safe and rapid with high accuracy and few clinical complications.