CEUS引导下活检与常规超声穿刺活检在肺结核合并颈部淋巴结结核患者诊断的价值对比

Comparison of CEUS guided biopsy and conventional ultrasound-guided biopsy in the diagnosis of pulmonary tuberculosis complicated with cervical lymph node tuberculosis

目的:探讨CEUS引导下活检与常规超声引导下穿刺活检在肺结核合并颈部淋巴结结核患者诊断的价值对比。方法:本研究采用2018年1月—2020年3月在本院进行诊断且治疗的肺结核合并颈部淋巴结核患者80例作为研究对象,按照随机分组原则,将以上患者随机分为观察组以及对照组,每组40例,观察组患者采取超声造影引导穿刺,对照组患者采取常规超声引导穿刺。比较两组患者以及不同亚组患者的诊断差异。结果:观察组(95.00%)患者的颈部淋巴结结核的诊断准确率显著高于对照组(77.50%),差异存在统计学意义(χ^(2)=5.161,P=0.023);≤2.0 cm组、>3 cm组患者的颈部淋巴结结核的诊断准确率之间的差异无统计学意义(P>0.05),2~3 cm组患者的颈部淋巴结结核的诊断准确率之间的差异有统计学意义(χ^(2)=5.252,P=0.022)。结论:超声造影检查引导的穿刺活检对于肺结核合并的颈部淋巴结结核的诊断具有显著的价值,建议临床推广。

Objective:To compare the diagnostic value of contrast enhanced ultrasound(CEUS)guided biopsy and conventional ultrasound-guided biopsy in patients with pulmonary tuberculosis complicated with cervical lymph node tuberculosis.Methods:In this study,80 patients with pulmonary tuberculosis complicated with cervical lymph node tuberculosis diagnosed and treated in our hospital from January 2018 to March 2020 were selected as the research subjects.According to the principle of random grouping,the above patients were randomly divided into observation group(n=40)and control group(n=40).The observation group was treated with ultrasound-guided puncture,and the control group was treated with conventional ultrasound-guided puncture.The diagnostic performance between the two groups and different subgroups were compared.Results:The diagnostic accuracy of cervical lymph node tuberculosis in the observation group(95.00%)was significantly higher than that in the control group(77.50%).The difference was statistically significant(χ^(2)=5.161,P=0.023).There was no significant difference between<2.0 cm group and>3 cm group(P>0.05).The diagnostic accuracy of cervical lymph node tuberculosis in the 2~3 cm group was lower than that in the control group.The difference between the two groups was statistically significant(χ^(2)=5.252,P=0.022).Conclusion:CEUS is of great value in the diagnosis of cervical lymph nodes with pulmonary tuberculosis,and it is recommended to be popularized in clinic.