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目的探讨超声引导下穿刺活检对小儿腋窝肿块的应用价值。方法将67例患儿随机分为两组:A组30例,行常规穿刺活检术;B组37例,行超声引导下穿刺活检术。结果 A组30例患儿腋窝肿块取材成功(90.0%),病理明确诊断(86.7%);B组37例患儿取材成功(100%),病理明确诊断(100%)。且B组较A组术中出血和术后窦道形成均明显减少。结论小儿腋窝肿块超声引导下穿刺活检,可明显提高穿刺活检成功率和病理结果阳性率。
Objective To investigate the value of ultrasound-guided needle biopsy on pediatric axillary mass. Methods 67 cases of children were randomly divided into two groups: A group of 30 patients underwent routine biopsy; B group of 37 patients underwent ultrasound-guided biopsy. Results A group of 30 children with axillary mass was successfully established (90.0%) with a definite pathological diagnosis (86.7%). Group B (37%) was successfully obtained (100%) with a definite pathological diagnosis (100%). And B group than A group intraoperative bleeding and postoperative sinus formation were significantly reduced. Conclusion Ultrasound guided biopsy of axillary mass in children can significantly improve the success rate of biopsy and the positive rate of pathological results.