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目的通过超声引导下针吸细胞学检查研究,进一步提高头颈肿瘤在围手术期的确诊率。方法随机对30例头颈肿瘤患者的区域性颈部包块或淋巴结行针吸细胞学检查,尤其是前哨淋巴结的检测分析,确定头颈肿瘤的组织细胞学类型,为头颈肿瘤患者围手术期的手术术式、切除范围及预后评估提供理论依据。结果本组30例患者中,1次性取材成功率为93.33%(28/30),组织学确诊率为93.33%(28/30)。活检过程顺利,仅1例因穿刺部位出现局部血肿需要加压包扎,其他患者均无特殊处理。结论超声引导下针吸细胞学检查改变了以往术中直视下凭经验判断头颈肿瘤良恶性及术中冰冻确定肿瘤组织学类型的传统方法,间接减少了切缘阳性率、切端残留癌,最大限度地实现了功能性外科,值得临床推广。
OBJECTIVE To investigate the diagnosis of head and neck cancer during perioperative period by ultrasound-guided needle aspiration cytology. Methods A total of 30 cases of head and neck cancer patients with regional neck mass or lymph node needle aspiration cytology, especially the detection and analysis of sentinel lymph nodes to determine the type of head and neck cancer histology cytology for the perioperative patients with head and neck cancer surgery Surgical procedures, excision range and prognosis assessment provide the theoretical basis. Results Among the 30 patients in this group, the success rate of one-off drawing was 93.33% (28/30), and the histological diagnosis rate was 93.33% (28/30). The biopsy process is smooth, only 1 case of local hematoma due to puncture site need to pressure bandage, the other patients without special treatment. Conclusion Ultrasound-guided needle aspiration cytology has changed the traditional method of judging the benign and malignant head and neck neoplasms and intraoperative frozen identification of tumor histology under direct vision in the past, indirectly reducing the positive rate of margins and the residual cancer at the incision, the maximum Limited functional surgery, it is worth clinical promotion.