| 王国涛,刘明辉,刘洁玉,杨谢青,赵白桦,张洪春.CEUS引导下穿刺活检诊断前纵隔淋巴瘤的临床价值[J].中国介入影像与治疗学,2017,14(6):370-373 |
| CEUS引导下穿刺活检诊断前纵隔淋巴瘤的临床价值 |
| Clinical value of CEUS guided biopsy in diagnosis of lymphoma in anterior mediastinum |
| 投稿时间：2016-12-12 修订日期：2017-04-19 |
| DOI：10.13929/j.1672-8475.201612011 |
| 中文关键词: 活组织检查 超声检查 造影剂 前纵隔 淋巴瘤 |
| 英文关键词:Biopsy Ultrasonography Contrast media Anterior mediastinum Lymphoma |
| 基金项目:湖南省自然科学基金（12JJ3102）。 |
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| 中文摘要: |
| 目的 探讨CEUS引导下穿刺活检对前纵隔淋巴瘤的诊断价值。方法 回顾性分析经CEUS和常规超声引导穿刺的各36例前纵隔淋巴瘤患者资料。比较CEUS引导组和常规超声引导组的取材成功率和并发症发生率。结果 CEUS引导下前纵隔肿块取材成功率为100%（36/36），其中非霍奇金淋巴瘤（NHL）26例，霍奇金淋巴瘤（HL）10例；36例患者，共穿刺取材60例次，并发症发生率为11.11%（4/36）。常规超声引导下前纵隔淋巴瘤取材成功率为88.89%（32/36），其中NHL 22例，HL 14例，共穿刺取材91例次，并发症发生率为41.67%（15/36）。2组取材成功率和并发症发生率差异均有统计学意义（χ2=4.235、8.651，P=0.040、0.003）。结论 CEUS可反映纵隔淋巴瘤的内部的微循环情况，更好地指导靶向穿刺活检，提高穿刺取材的成功率，减少并发症。 |
| 英文摘要: |
| Objective To explore the clinical value of CEUS guided biopsy of lymphoma in anterior mediastinum. Methods The data of 36 patients with lymphoma of anterior mediastinum underwent biopsy guided by CEUS and 36 patients by conventional ultrasound retrospectively. The successful rate of biopsy and rate of complication occurence were compared between the CEUS group and conventional ultrasound group. Results The successful rate of biopsy in CEUS group was 100% (36/36), including 26 non-Hodgkin's lymphoma (NHL), 10 Hodgkin's lymphoma (HL). The total times of puncture were 60 in 36 patients. The rate of complication occurrence was 11.11% (4/36). The successful rate in conventional ultrasound group was 88.89% (32/36), including 22 NHL, 14 HL. The times of puncture were 91 in 36 patients. The rate of complication occurrence was 41.67% (15/36). There were significant differences in successful rate and the rate of complication occurrence between two groups (χ2=4.235, 8.651, P=0.040, 0.003). Conclusion CEUS can reflect the microcirculation of lymphomas in anterior mediastinum, and can guide targeted biopsy. It can improve the successful rate of biopsy and reduce the complications. |
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