Role of contrast-enhanced ultrasound guidance in core-needle biopsy for diagnosis of cervical tuberculous lymphadenitis
Role of contrast-enhanced ultrasound guidance in core-needle biopsy for diagnosis of cervical tuberculous lymphadenitis
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DOI：
10.3233/ch-201038
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发表时间：
2021-01-01
影响因子：
2.1
通讯作者：
He, Ning
中科院分区：
文献类型：
--
作者：
Zhao, Dan;Shao, Ya-Qin;He, Ning
目的：目的探讨超声造影（CEUS）引导下粗针穿刺活检（CNB）对颈部淋巴结结核（CTL）的诊断价值。所有患者在最终手术前均接受了CNB。根据穿刺引导方式的不同分为常规超声组（n = 81）和CEUS组（n = 97）。结果：178例患者中，CNB直接诊断CTL 146例，其中CEUS组59例，US组87例。诊断准确率分别为89.7%（87/97）和72.8%（59/81）（P < 0.01）。在亚组分析中，不同引导方法的诊断效能在中等人群中差异有统计学意义（>2.0 cm和3.0 cm），CEUS组为91.7%，US组为69.0% CEUS组为84.4%，US组为57.7%（P < 0.05（P < 0.05）。结论：在CTL的诊断中，CEUS引导下CNB较US引导下CNB有一定优势，尤其是对较大淋巴结的诊断。
OBJECTIVE: To investigate the diagnostic value of core-needle biopsy (CNB) guided by contrast-enhanced ultrasound (CEUS) in cervical tuberculous lymphadenitis (CTL).METHODS: 178 patients with pathological confirmation of CTL were retrospectively enrolled. All of them had undergone CNB prior to the final surgery. According to the different ways of puncture guidance, they were divided into two groups: conventional ultrasound (US) group (n = 81) and CEUS group (n = 97). The comparison of diagnostic efficacy between two groups was compared and analyzed.RESULTS: Among the 178 patients, 146 were directly diagnosed as CTL by CNB, including 59 patients in CEUS group and 87 patients in US group. The diagnostic accuracy were 89.7% (87/97) and 72.8% (59/81), respectively (P < 0.01). For subgroup analyses, differences among diagnostic efficacy ascribed to the different guiding methods were significant in medium size group (>2.0 cm and 3.0 cm), 91.7% for CEUS group vs. 69.0% for US group (P < 0.05) and 84.4% for CEUS group vs. 57.7% for US group (P < 0.05), respectively.CONCLUSIONS: In the diagnosis of CTL, compared with the US-guided CNB, CEUS-guidedCNBhave certain advantages, especially for larger lymph nodes.