目的：探讨超声引导下细针穿刺病理对诊断浅表淋巴结转移癌的准确性和安全性。方法对52例原发部位病理已确诊为癌症同时合并CT或超声检查存在浅表淋巴结转移的患者，行超声引导下浅表淋巴结细针穿刺病理检查，对细胞病理结果进行回顾性分析。结果52例患者均一次性穿刺成功，且未出现严重并发症，穿刺取材成功率为100%，细胞病理诊断为恶性的阳性率为92.3%。结论超声引导下细针穿刺病理对颈部淋巴结转移癌诊断准确率高，可以作为诊断的首选方法。%Objective To investigate the accuracy and safety of ultrasound-guided fine needle biopsy in the diagnosis of superficial lymph nodes metastatic carcinoma. Methods 52 cases of superficial lymph node metastasis patients examined by CT or ultrasound,at the same time primary pathology diagnosed with cancer,were given ultrasound-guided needle biopsy pathologic examination,the cel pathological results were retrospectively analyzed. Results 52 patients are one-time puncture success,and no serious complications occurred. The achievement ratio of puncture sampling was 100%. The positive rate of pathological diagnosis of malignant cel s was 92.3%. Conclusion Ultrasound guided fine needle biopsy for the diagnosis of cervical lymph node metastasis carcinoma has the characteristic of high accuracy rating,can be used as the preferred methods.
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