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目的探讨超声引导穿刺活检对宫颈癌盆腔淋巴结的定性诊断价值。方法随机选取经超声检查存在闭孔或髂内淋巴结增大宫颈癌患者15例,每例患者选择一侧一枚增大淋巴结作为穿刺目标,在经阴道超声引导下进行穿刺获取淋巴组织,送组织病理检查。结果 14例获取淋巴结组织,穿刺成功率93.3%(14/15),1例无组织取出;穿刺过程中及穿刺后未出现出血或周围组织损伤并发症;13例组织病理检查可见癌组织,1例为炎症性改变。结论经阴道超声引导穿刺活检可对宫颈癌盆腔淋巴结进行定性诊断,具有较高成功率、可操作性和安全性。
Objective To investigate the value of ultrasound guided biopsy in the diagnosis of pelvic lymph nodes in cervical cancer. Methods Fifteen patients with cervical cancer who had obstructive or iliac lymph node enlargement by ultrasound were randomly selected. One patient with enlarged lymph node was chosen as the puncture target in each patient. Peripheral lymph nodes were obtained by transvaginal sonography. Pathological examination. Results In 14 cases, the successful rate of puncture was 93.3% (14/15), one case was removed without tissue. No bleeding or complications of peripheral tissue injury occurred during and after puncturing. The histopathological examination of 13 cases showed carcinoma tissue 1 Examples are inflammatory changes. Conclusion Transvaginal ultrasound guided biopsy can diagnose cervical pelvic lymph nodes qualitatively with high success rate, maneuverability and safety.