超声引导下针吸细胞学检查在头颈肿瘤围手术期的临床应用价值评估

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。

Clinical practice in peri-operative care of head-neck tumor in ultrasound-guided fine needle aspiration cytology

Objective To study ultrasound-guided fine needle aspiration cytology examination, and to improve the peri-operation head-neck cancer diagnosis rate. Methods Randomly 30 patients with head-neck cancer had neck lump or fine needle aspiration cytology in lymph nodes performed, especially in detection and analysis of sentinel lymph nodes. Results Among the patients, the success rate was 93.33% (28/30), and histological diagnosis rate was 93.33% (28/30). Only one case needed a partial pressure bandage because of puncture site hematoma, while others had no special treatment. Conclusion Ultrasound-guided fine needle aspiration cytology examination indirectly reduced the positive margin rate and cutside residual tumor, and obtained maximum functional surgery.