口腔医学研究

口腔医学研究 ›› 2017, Vol. 33 ›› Issue (3): 336-338.DOI: 10.13701/j.cnki.kqyxyj.2017.03.025

• 临床研究论著 • 上一篇    下一篇

彩超引导下的粗针穿刺活检术在腮腺肿瘤诊断中的应用

童国勇*，余周庆，戈春城   

  1. 湖北省恩施州中心医院口腔诊疗中心 湖北 恩施 445000
  • 收稿日期:2016-09-30 出版日期:2017-03-20 发布日期:2017-03-22
  • 通讯作者: 童国勇,E-mail: hhm18972439905@163.com
  • 作者简介:童国勇(1982~ ),男,湖北蕲春人,学士,主治医师,主要从事口腔颌面外科临床治疗工作。

Application of Coarse Core Biopsy Guided by Colour Doppler Ultrasound in Diagnosis of Parotid Tumors.

TONG Guo-yong*, YU Qin-zhou, GE Chun-cheng.   

  1. Department of Stomatology, The Center Hospital of Enshi Autonomous Prefecture. Enshi 445000, China.
  • Received:2016-09-30 Online:2017-03-20 Published:2017-03-22

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摘要： 目的:探讨彩超引导下粗针穿刺活检在腮腺肿瘤术前诊断中的应用。方法:回顾2013~2015年于湖北省恩施州中心医院术前行彩超引导下粗针穿刺活检的腮腺肿瘤患者63例,将彩超引导下粗针穿刺活检的结果与术后组织病理学结果进行比较并统计。结果:63例腮腺肿瘤患者中,彩超引导下粗针穿刺活检诊断良性肿瘤56例,其中有1例术后病理检查报道为粘液表皮样癌,彩超引导下粗针穿刺活检诊断符合率98.2%;彩超引导下粗针穿刺活检诊断恶性肿瘤7例,彩超引导下粗针穿刺活检诊断符合率100%。彩超引导下粗针穿刺活检术术后发生并发症11例,术区疼痛6例,术区肿胀5例,无面神经损伤病例。结论:彩超引导下粗针穿刺活检术在腮腺肿瘤诊断中准确率高,术后并发症少,无不可逆性损伤。

关键词: 腮腺肿瘤诊断, 彩超引导下粗针穿刺活检, 术后病理检查

Abstract: Objective: To investigate the clinical application of colour Doppler ultrasound guided core biopsy (USCB) in the preoperative diagnosis of parotid tumors. Methods: Sixty-threepatients with parotid glandtumor, who had received USCB before operation, were included in this study from 2013-2015. The USCB results were compared with the postoperative pathological examinations. Results: In these 63 patients with parotid gland tumor, there were 56 cases whowere diagnosed with benign tumor by USCB, including 1 cases of mucoepidermoid carcinoma reported by postoperative pathological examination.The preoperative diagnostic coincidence rate was 98.2%. And 7 cases were diagnosed with malignant tumor by USCB and the preoperative diagnostic coincidence rate was 100%. There were 11 cases who had complicationafter the operation of USCB, 6 patients felt pain in the operation areaand 5 patients had swelling in the operation area and no injury to the facial nerve after USCB. Conclusion: USCB is quite effective in diagnosis of parotid tumors with less postoperativecomplications and non-reversible damage.

Key words: Diagnosis of parotid tumors, Colour , Doppler ultrasound-guided core biopsy (USCB), Postoperative , Pathology

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