论文部分内容阅读
目的分析彩超在诊断分化型甲状腺癌颈淋巴结转移中的应用效果。方法疑似分化型甲状腺癌颈淋巴结转移患者共67例,所有患者均行颈淋巴结改良型清扫术,术前对患者进行彩超检查,术后则进行病理性检验,判断彩超的诊断准确性。结果 67例分化型甲状腺癌患者中,术前彩超结果显示有59例患者发生颈淋巴结转移,颈淋巴结清扫术后病理性检测结果表明,共有63例患者发生颈淋巴结转移,彩超确诊率为93.7%,彩超检测结果与术后病理性检测结果差异无统计学意义(P>0.05);且有2例患者发生颈淋巴结转移复发情况,复发率为3.2%。结论术前对分化型甲状腺癌患者进行彩超检查,能够较准确地诊断出患者的颈淋巴结转移情况,为颈淋巴结清扫术提供可靠清扫范围,具有极高的诊断价值。
Objective To analyze the application effect of color Doppler ultrasound in the diagnosis of cervical lymph node metastasis of differentiated thyroid cancer. Methods A total of 67 patients with suspected differentiated thyroid cancer with cervical lymph node metastasis were enrolled in this study. All patients underwent modified lymph node dissection. Preoperative color Doppler ultrasound examination was performed on the patients. Postoperative pathological examination was performed to determine the diagnostic accuracy of Doppler ultrasound. Results 67 cases of differentiated thyroid cancer patients, preoperative ultrasonography results showed that 59 cases of cervical lymph node metastasis, cervical lymph node dissection after pathological examination showed that a total of 63 patients had cervical lymph node metastasis, the color Doppler ultrasound diagnosis rate was 93.7% There was no significant difference between the results of color Doppler ultrasonography and postoperative pathological examination (P> 0.05). The recurrence rate of neck lymph node metastasis in 2 patients was 3.2%. Conclusion Preoperative diagnosis of differentiated thyroid cancer in patients with color Doppler ultrasound can accurately diagnose the patient’s cervical lymph node metastasis, neck dissection to provide a reliable clean range, with a high diagnostic value.