PDF(Pubmed)
Abstract：
UNASSIGNED: To investigate the difference of application of core needle biopsy histology and fine needle aspiration cytology in cervical lymphadenopathy.
UNASSIGNED: A retrospective analysis was made on 80 patients with cervical lymphadenopathy admitted to Baoding No.1 Central Hospital from to October 2018 to February 2020, and they were randomly divided into two groups: core needle group and fine needle group. Patients in the core needle group were given core needle biopsy histology, while those in the fine needle group were given fine needle aspiration cytology, and the puncture results and surgical complications were compared between the two groups.
UNASSIGNED: The accuracy rates of the core needle group and the fine needle group in the diagnosis of malignant cervical lymph nodes were 95.83% and 72.22% respectively, with a statistically significant difference (χ²=4.683, p=0.030). The sensitivity, specificity, positive predictive value and negative predictive value of the core needle group were 100.00%, 93.75%, 95.83% and 100.00% respectively, while those of the fine needle group were 86.67%, 90.00%, 86.67% and 90.00% respectively, with no statistically significant differences between the two groups (p>0.05). The complication rate in the core needle group was 22.50%, which was higher than the 5.00% in the fine needle group (χ²=5.165, p=0.023).
UNASSIGNED: No significant difference was observed between core needle biopsy histology and fine needle aspiration cytology in diagnosing cervical lymphadenopathy, but the former has a high complication rate.
UNASSIGNED: A retrospective analysis was made on 80 patients with cervical lymphadenopathy admitted to Baoding No.1 Central Hospital from to October 2018 to February 2020, and they were randomly divided into two groups: core needle group and fine needle group. Patients in the core needle group were given core needle biopsy histology, while those in the fine needle group were given fine needle aspiration cytology, and the puncture results and surgical complications were compared between the two groups.
UNASSIGNED: The accuracy rates of the core needle group and the fine needle group in the diagnosis of malignant cervical lymph nodes were 95.83% and 72.22% respectively, with a statistically significant difference (χ²=4.683, p=0.030). The sensitivity, specificity, positive predictive value and negative predictive value of the core needle group were 100.00%, 93.75%, 95.83% and 100.00% respectively, while those of the fine needle group were 86.67%, 90.00%, 86.67% and 90.00% respectively, with no statistically significant differences between the two groups (p>0.05). The complication rate in the core needle group was 22.50%, which was higher than the 5.00% in the fine needle group (χ²=5.165, p=0.023).
UNASSIGNED: No significant difference was observed between core needle biopsy histology and fine needle aspiration cytology in diagnosing cervical lymphadenopathy, but the former has a high complication rate.
摘要：
■探讨粗针活检组织学和细针穿刺细胞学在宫颈淋巴结病中的应用差异。
■回顾性分析2018年10月至2020年2月保定市第一中心医院收治的颈部淋巴结肿大患者80例，随机分为芯针组和细针组。芯针组患者给予芯针活检组织学检查,细针组给予细针穿刺细胞学检查，比较两组穿刺结果及手术并发症。
■芯针组和细针组诊断颈部恶性淋巴结的准确率分别为95.83%和72.22%,差异有统计学意义(χ²=4.683，p=0.030)。敏感性,特异性，核心针组的阳性预测值和阴性预测值分别为100.00%,93.75%,分别为95.83%和100.00%，而细针组为86.67%，90.00%,分别为86.67%和90.00%，两组间差异无统计学意义(p>0.05)。核心针组并发症发生率为22.50%,高于细针组的5.00％（χ²=5.165，p=0.023）。
■在诊断颈部淋巴结肿大方面，芯针活检组织学和细针穿刺细胞学没有观察到显著差异，但前者并发症发生率高。
■回顾性分析2018年10月至2020年2月保定市第一中心医院收治的颈部淋巴结肿大患者80例，随机分为芯针组和细针组。芯针组患者给予芯针活检组织学检查,细针组给予细针穿刺细胞学检查，比较两组穿刺结果及手术并发症。
■芯针组和细针组诊断颈部恶性淋巴结的准确率分别为95.83%和72.22%,差异有统计学意义(χ²=4.683，p=0.030)。敏感性,特异性，核心针组的阳性预测值和阴性预测值分别为100.00%,93.75%,分别为95.83%和100.00%，而细针组为86.67%，90.00%,分别为86.67%和90.00%，两组间差异无统计学意义(p>0.05)。核心针组并发症发生率为22.50%,高于细针组的5.00％（χ²=5.165，p=0.023）。
■在诊断颈部淋巴结肿大方面，芯针活检组织学和细针穿刺细胞学没有观察到显著差异，但前者并发症发生率高。
