标题：超声引导下细针穿刺活检对腹膜后淋巴结的临床诊断价值

      作者：雷一鸣 1，李涛 2，苏林娜 2，胡辉歌 3    1.西安国际医学中心医院超声诊疗中心，陕西 西安 710100；2.空军军医大学第一附属医院消化超声诊疗中心，陕西 西安 710032；3.西安国际医学中心医院消化内科，陕西 西安 710100；

      卷次： 2019年30卷22期

      【摘要】 目的 探讨超声引导下细针穿刺活检在腹膜后淋巴结诊断中的临床价值。方法 回顾性分析空军军医大学第一附属医院于 2017—2018年期间收治的 22例腹膜后淋巴结肿大患者的临床资料，所有患者均完善术前检查后行超声引导下细针穿刺活检，记录并发症发生情况，同时比较穿刺结果与最终诊断的符合情况。结果 本组22例患者穿刺过程顺利，均成功获取淋巴结组织，术后均未出现血管及神经损伤、腹腔脏器损伤；穿刺诊断结果包括良性8例，恶性14例，诊断符合率为95.45%。结论 超声引导下细针穿刺活检应用于腹膜后淋巴结诊断，具有准确性高、安全性高的特点，临床应用价值较好。
      【关键词】 腹膜后淋巴结；淋巴结肿大；超声引导；细针；病理诊断；临床价值
      【中图分类号】 R656 【文献标识码】 A 【文章编号】 1003—6350（2019）22—2972—02

Clinical value of ultrasound-guided fine needle aspiration biopsy in the diagnosis of retroperitoneal lymph nodes.LEI Yi-ming 1, LI Tao 2, SU Lin-na 2, HU Hui-ge 3.
1. Ultrasound Diagnosis and Treatment Center, Xi'an InternationalMedical Center Hospital, Xi'an 710100, Shaanxi, CHINA; 2. Digestive Ultrasound Diagnosis and Treatment Center, the FirstAffiliated Hospital of Air Force Medical University (Xijing Hospital), Xi'an 710032, Shaanxi, CHINA; 3. Department ofGastroenterology, Xi'an International Medical Center Hospital, Xi'an 710100, Shaanxi, CHINA
【Abstract】 Objective To investigate the clinical value of ultrasound-guided fine needle aspiration biopsy inthe diagnosis of retroperitoneal lymph nodes. Methods The clinical data of 22 patients with retroperitoneal lymphade-nopathy was retrospectively analyzed, who were treated in the First Affiliated Hospital of Air Force Medical Universitybetween 2017 and 2018. All patients completed the preoperative examination and underwent ultrasound-guided fine nee-dle aspiration biopsy. Postoperatively, the occurrence of complications was recorded, and the puncture results were com-pared with the final diagnosis. Results The 22 patients in this group had a good puncture procedure and successfullyobtained lymph node tissues. No vascular and nerve injuries or abdominal organ injuries occurred after operation. The re-sults of puncture diagnosis included 8 benign cases and 14 malignant cases, with a diagnostic coincidence rate of95.45%. Conclusion Ultrasound-guided fine needle aspiration biopsy has high accuracy and safety in the diagnosis ofretroperitoneal lymph nodes and has a good clinical value.
      【Key words】 Retroperitoneal lymph nodes; Lymph node enlargement; Ultrasound-guided; Fine needle; Pathologi-cal diagnosis; Clinical value·短篇论著·doi:10.3969/j.issn.1003-6350.2019.22.035