Department of Ultrasonography，Affiliated Hangzhou Chest Hospital, Zhejiang University School of Medicine（Integrated Chinese and Western Hospital of Zhejiang Province, Hangzhou Red Cross Hospital)）, hangzhou, Zhejiang, China, No.208 Huancheng East Road, Hangzhou, Zhejiang.
Department of Pathology, Affiliated Hangzhou Chest Hospital, Zhejiang University School of Medicine (Integrated Chinese and Western Hospital of Zhejiang Province, Hangzhou Red Cross Hospital), No.208 Huancheng East Road, 310003, Hangzhou, Zhejiang, China.
BMC Surg. 2023 Mar 29;23(1):71. doi: 10.1186/s12893-023-01964-1.
Summarized the incidence of bleeding after ultrasound-guided coarse needle biopsy (US-CNB) of benign cervical lymph nodes.
We retrospectively examined the clinical and follow-up records of 590 patients with benign cervical lymph node disease who underwent US-CNB at our hospital during February 2015-July 2022 and were confirmed to have the disease by CNB and surgical pathology. The number of cases, types of diseases, and degree of bleeding of all patients with bleeding after US-CNB were statistically analyzed.
Of the 590 patients, bleeding was noted in 44 cases(7.46%), and the infectious lymph node bleeding rate was 9.48%. Infectious lymph nodes were more likely to bleed than noninfectious lymph nodes after CNB, ,x = 8.771; P = 0.003, Lymph nodes with pus were more likely to bleed than solid lymph nodes after CNB, x = 4.414; P = 0.036,.
The bleeding of all patients after CNB was minor bleeding. Infected lymph nodes bleed more frequently than noninfected lymph nodes. Lymph nodes with mobility and a large pus cavity, are more likely to bleed after CNB.
总结超声引导粗针活检（US-CNB）良性颈淋巴结后出血的发生率。
我们回顾性检查了 2015 年 2 月至 2022 年 7 月在我院因良性颈淋巴结疾病接受 US-CNB 且经 CNB 和手术病理证实的 590 例患者的临床和随访记录。对所有 US-CNB 后出血患者的例数、疾病类型和出血程度进行统计学分析。
在 590 例患者中，有 44 例（7.46%）出现出血，感染性淋巴结出血率为 9.48%。与非感染性淋巴结相比，CNB 后感染性淋巴结更容易出血，x=8.771；P=0.003，与实性淋巴结相比，CNB 后有脓的淋巴结更容易出血，x=4.414；P=0.036。
所有患者 CNB 后出血均为轻微出血。感染性淋巴结比非感染性淋巴结更容易出血。活动度好且有大脓腔的淋巴结，CNB 后更容易出血。
