术前彩超在诊断甲状腺癌早期颈淋巴转移中的作用分析

Analysis of Function of Preoperative Color Doppler Ultrasound in Diagnosis of Early Cervical Metastasis in Patients with Thyroid Carcinoma

目的观察与探究术前彩超在诊断甲状腺癌早期颈淋巴转移中的作用。方法方便选取2013年11月—2016年11月期间于该院就诊及治疗的50例甲状腺癌早期颈淋巴转移患者作为研究对象,对50例甲状腺癌早期颈淋巴转移患者均给予术前彩超诊断,分析50例甲状腺癌早期颈淋巴转移患者的诊断效果。结果 50例甲状腺癌早期颈淋巴转移患者中,经术前彩超诊断的确诊率为96.00%(48/50)。48例术前彩超确诊为甲状腺癌早期颈淋巴转移患者的诊断结果显示,中颈部阳性率(77.08%)与上颈部阳性率、下颈部阳性率、气管旁阳性率(43.75%、56.25%、45.83%)相对比,组间差异有统计学意义(P<0.05);Ⅲ区域的阳性率(75.00%)与Ⅱ区域的阳性率、Ⅳ区域的阳性率、Ⅵ区域的阳性率(50.00%、52.08%、43.75%)相对比,组间差异有统计学意义(P<0.05)。结论术前彩超在甲状腺癌早期颈淋巴转移患者的临床诊断中具有重要价值。

Objective To observe and study the function of Preoperative color Doppler ultrasound in diagnosis of early cervical metastasis in patients with thyroid carcinoma. Methods 50 cases of early cervical metastasis patients with thyroid carcinoma in our hospital from November 2013 to November 2016 were conveniently selected and diagnosed by the preoperative color Doppler and the diagnosis effect was analyzed. Results Of 50 cases, the confirmation rate of preoperative color Doppler diagnosis was 96.00%(48/50), and the diagnosis results of 48 cases of patients confirmed with thyroid carcinoma showed that the difference in the positive rate among the middle neck site, upper neck site, lower neck site and paratracheal site,(77.08% vs 43.75%, 56.25%, 45.83%), and the differences between groups were obvious statistically significane(P <0.05), and the difference in the positive rate among the Ⅲ region, Ⅱ region, Ⅳ region and Ⅵ region was obvious(P <0.05). Conclusion The value of preoperative color Doppler ultrasound in diagnosis of early cervical metastasis in patients with thyroid carcinoma is important.