灰阶超声对甲状腺微小乳头状癌淋巴结转移(颈部)的预测价值分析

Ultrasound on Thyroid Lymph Node Metastasis of Papillary Microcarcinoma(Neck)Predictive Value Analysis

目的:总结甲状腺微小乳头状癌淋巴结转移的灰阶超声特征并对其预测价值做评估。方法:回顾性分析113例患者的影像资料,按照有无颈淋巴结转移本组病例分为转移组与未转移组,对结节大小、部位、纵横比、边界、周边声晕、内部钙化、内部回声、后方回声、是否突破甲状腺被膜作单因素分析。结果:受甲状腺微小乳头状癌淋巴结最大径≥0.7cm、结节处于峡部、粗钙化合并微钙化、结节突破甲状腺被膜等超声表现的影响明显(P<0.05)。结论:甲状腺微小乳头状癌结节的灰阶超声图像能预测淋巴结节有无向颈部转移,可作为临床手术治疗方案制定的科学参考依据。

Objective： To summarize the thyroid papillary microcarcinoma lymph node metastasis and the characteristics of gray scale ultrasound to assess the predictive value. Methods： A retrospective analysis of imaging data of 113 patients with cervical lymph node metastasis in this group were divided into metastasis group and non metastasis group, the nodule size, location, aspect ratio, boundary, acoustic halo, calcification, echogenicity and whether the thyroid gland is breakthrough film as a single factor analysis. Results： Papillary thyroid carcinoma lymph node diameter more than 0.7cm, in the isthmus, calcium nodules and coarse compound micro calcifcation, nodular thyroid is breakthrough film Significantly affect the performance of ultrasound （P〈0.05）. Conclusion： Ultrasound images of nodules of 3apillary thyroid microcarcinoma can predict lymph node without cervical metastasis to, can be used as clinical treatment plan and scientific reference.