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本文报告了应用针尖改磨制成铲形的上颌窦穿刺针对影像学和临床确诊为眼眶内肿物的21例患者实施穿切抽吸的活检结果。患者年龄构成为15到62岁,男性与女性之比为5:2,主要临床表现为眼球突出。穿切活检取材成功率为100%,组织病理学诊断符合率为90.5%,没有发生并发症。文中介绍了穿切活检的技术方法和分析讨论了穿切活检的特点、技巧。结果显示采用穿切抽吸活检诊断眼眶内肿物准确快速、可靠,损伤小,技术操作易掌握,适于临床选择应用。
This article reports the biopsy results of 21 patients undergoing needle-tip grinding to a shovel-shaped maxillary sinus puncture for imaging and clinically diagnosed orbital masses. The patient’s age ranged from 15 to 62 years, with a ratio of 5 to 2 for men and women. The major clinical manifestation was prominence of the eye. Surgical biopsy through the success rate of 100%, histopathological diagnosis coincidence rate of 90.5%, no complications. The article introduced the technique of penetrating biopsy and analyzed and discussed the characteristics and techniques of biopsy. The results show that the use of biopsy through the orbit orbit diagnosis of accurate and rapid, reliable, small injury, easy to grasp the technical operation, suitable for clinical choice and application.