Recently, the interventional team of the Department of Ultrasound Diagnosis of Hanshou County People's Hospital successfully carried out a case of percutaneous cervical lymph node fine needle aspiration cytology, and the patient had a smooth operation and a good postoperative recovery, achieving the expected results and obtaining satisfactory specimens.
The successful development of this technology marks a new step in interventional ultrasound diagnosis and treatment in the ultrasound diagnosis and treatment department of the hospital.
1. Case review.
Mr. Xing (pseudonym), who was less than 30 years old, reported that he found a lump on the right side of his neck, so he came to the Otolaryngology-Head and Neck Surgery Clinic of Hanshou County People's Hospital for treatment, and did an ultrasound examination
In order to further clarify the nature of lymph nodes and facilitate the formulation of the best plan, after comprehensive consultation, the ultrasound intervention team of Hanshou County People's Hospital analyzed and discussed the patient's condition, and decided to conduct ultrasound-guided percutaneous lymph node fine needle puncture cytology for the patient.
Xu Shihua, director of the ultrasound diagnosis department of Hanshou County People's Hospital, patiently explained to patients that there are many swollen lymph nodes, and now it is necessary to understand the nature of lymphadenopathy in order to further formulate a plan. After the patient explanation and enlightenment of Director Xu Shihua, the patient agreed to the surgical examination.
Xu Shihua, director of the Department of Ultrasound Diagnosis of Hanshou County People's Hospital, conducted real-time ultrasound guidance, and the attending physician Li Wenfeng accurately avoided the surrounding blood vessels and then put the biopsy needle into the target position, repeatedly aspirated, and successfully collected abnormal lymph node lesion specimens.
The whole process was smooth, the patient had no bleeding and other obvious discomfort, and his vital signs were stable. After the operation, the pathology department performed cytological analysis of the specimens, and the results were issued the next day (cytopathological diagnosis: there were many large nuclear atypic cells in the lymph node tissue, and it was recommended that the lymph nodes be completely resected and sent for further diagnosis).
The successful development of percutaneous lymph node fine needle aspiration cytology provides a strong guarantee for the patient's next step**.
Patient pathological examination results).
2. Ultrasound-guided fine needle aspiration cytology of lymph nodes.
It is understood that ultrasound-guided fine needle puncture cytology examination of lymph nodes is to accurately guide the disposable puncture needle to the lymph node lesion under the real-time guidance and monitoring of the color ultrasound diagnostic instrument, and obtain the diseased tissue for pathological cytology, immunohistochemistry and other staining examinations, so as to understand the pathological changes of the lymph node and make a more accurate diagnosis. It has the characteristics of wide indications, small damage, simple operation and rapid and reliable examination results.
3. Interventional ultrasound in Hanshou County People's Hospital.
As a safe, simple, effective and economical diagnostic method, interventional ultrasound plays an important role in clinical diagnosis and treatment, and is one of the organic components of precision medicine.
The development of interventional ultrasound has made the ultrasound department transition from simple ultrasound diagnosis to ultrasound intervention, and has also become an important part of modern clinical minimally invasive medicine.
The Department of Ultrasound Diagnosis of Hanshou County People's Hospital has established an interventional ultrasound team with rigorous training, solid theoretical knowledge and rich clinical experience. Ultrasound-guided fine needle aspiration cytology of thyroid and lymph nodes, gross needle aspiration histological biopsy of breast and various body surface masses and organs, thoracic, peritoneal, pericardial and percutaneous transhepatic gallbladder puncture, percutaneous transhepatic bile duct catheter drainage and other interventional ultrasound projects have been routinely carried out, filling the gap in the field of interventional ultrasound in Hanshou County.
Hunan Medical Chat Special Author: Hanshou County People's Hospital Ultrasound Diagnostic Department Li Wenfeng Follow @Hunan Medical Chat to get more health science information!
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