| 王强，卢晓渟，邓志红，蒋沂成，廖春淮.半自动活检针在腋窝淋巴结穿刺活检中的效果观察[J].实用中西医结合临床,2021,21(18):7-10 |
| 半自动活检针在腋窝淋巴结穿刺活检中的效果观察 |
| Observation on the Effect of Semi-automatic Biopsy Needle in Axillary Lymph Node Biopsy |
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| DOI： |
| 中文关键词: 腋窝淋巴结 半自动粗针穿刺活检 全自动粗针穿刺活检 |
| 英文关键词: Axillary lymph nodes Semi-automatic needle biopsy Automatic core needle biopsy |
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| 中文摘要: |
| 目的：观察半自动活检针在腋窝淋巴结穿刺活检诊断中的临床应用效果。方法：选取2019年1月~2020年2月收治的乳腺癌腋窝淋巴结肿大患者100例，随机分为实验组和对照组，每组50例。在超声引导定位下，实验组采取半自动粗针穿刺活检，对照组采取全自动粗针穿刺活检，分别将半自动活检针和全自动活检针破皮后置入腋窝肿大淋巴结边缘，分别手动和自动控制针芯至淋巴结髓质内，按压尾部击发扳机，弹出套管后将淋巴结组织取样活检。结果：实验组穿刺组织满意度高于对照组（P＜0.05）；两组病理准确率、假阴性率、灵敏度、特异度等指标相比较，差异无统计学意义（P＞0.05）；实验组并发症发生率明显低于对照组（P＜0.05）。结论：应用半自动活检针穿刺诊断乳腺癌腋窝肿大淋巴结，是一种准确便捷、安全高效的活检方法。 |
| 英文摘要: |
| Objective: To observe the clinical application effect of semi-automatic biopsy needle in the diagnosis of axillary lymph node biopsy. Methods: From January 2019 to March 2020, 100 breast cancer patients with axillary lymph node enlargement were selected, they were randomly divided into experimental group and control group, with 50 cases in each group. Under the guidance of ultrasound, the experimental group received semi-automatic needle biopsy, while the control group received automatic needle biopsy. The semi-automatic biopsy needle or the fully automatic biopsy needle were respectively ruptured and placed into the edge of the large lymph node in the axilla. The needles core were manually or automatically controlled to the medulla of the lymph node. The tail trigger was pressed to eject the cannula, and then the lymph node tissue was sampled for biopsy. Results: The satisfaction of puncture tissue in the experimental group was higher than that in the control group (P＜0.05). There were no significant differences in pathological accuracy, false negative rate, sensitivity and specificity between the two groups (P＞0.05). The incidence of complications in the experimental group was significantly lower than that in the control group (P＜0.05). Conclusion: It is an accurate, convenient, safe and effective biopsy method to diagnose axillary lymph nodes in breast cancer with semi-automatic biopsy needle. |
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