快速现场评价在颈部淋巴结细针穿刺中的应用价值

Application value of rapid on site evaluation in fine needle aspiration of neck lymph nodes

目的探讨快速现场评价(rapid on site evaluation,ROSE)指导下的颈部淋巴结细针穿刺(fine needle aspiration,FNA)与常规FNA在效果和安全性上的差异。方法选取2013年10月至2018年10月阜阳市人民医院拟行颈部淋巴结FNA的病人84例,采用随机数字表法分为ROSE组和常规组,对穿刺针数、穿刺是否明确诊断、穿刺并发症进行观察。结果ROSE组总体明确诊断率(97.6%比81.0%)、并发症发生率(7.1%比23.8%)、穿刺进针次数[(1.24±0.58)次比(1.90±0.58)次]均优于常规组(P<0.05);对于长径小于1cm或位于IV区的淋巴结,ROSE组在明确诊断率上优于常规组;淋巴结位于IV区的病人,ROSE的并发症发生率优于常规组。结论应用ROSE技术有助于提高颈部淋巴结FNA的成功率和安全性。

Objective The difference in efficiency and safety between conventional fine needle aspiration(FNA)and FNA with the guidance of rapid on site evaluation(ROSE)was investigated.Methods Eighty four patients with enlarged neck lymph nodes were randomly divided into the ROSE group and the conventional group between October 2013 and October 2018.The difference of puncture times,diagnosis rate and complication rate between these two groups was studied.Results The diagnosis rate(97.6%vs.81.0%),complication rate(7.1%vs.23.8%)and puncture times[(1.24±0.58)vs.(1.90±0.58)]in the neck lymph node examination of ROSE group were better than those in the conventional FNA group.For the lymph nodes with longitudinal diameter less than 1 cm or in level IV,a higher diagnosis rate of puncture results was shown in the ROSE group.A higher incidence of complications in the conventional group was proved in patients with lymph nodes in level IV.Conclusion The diagnosis rate and safety of FNA in neck lymph nodes examination can be improved by the application of ROSE.