甲状腺癌的超声诊断和淋巴结转移112例分析

Analysis on the Clinical Effect of Ultrasonography in 112 Thyroid Cancer Cases Complicated with Lymphatic Metastasis

目的研究甲状腺癌的超声诊断和淋巴结转移情况。方法选取2014年5月-2016年5月期间收治的甲状腺癌淋巴结转移患者112例进行回顾性分析。对患者临床资料进行分析,对比患者资料要点。结果全部患者当中,乳头状癌患者在全部患者当中占据97.32%(n=109),乳头状微灶癌患者占据全部患者数量的44.64%(n=50)。对患者进行B超影响指标的诊断,其中的约登指数为细化钙患者占据总数的62.5%(n=70),边界模糊患者占据64.28%(n=72),并存患者为55.35%(n=62),供血增多患者为37.5%(n=43),低回声患者占据8.03%(n=9)。患者中有31例有淋巴结转移(27.6%),平均淋巴结数为(2.41±0.32)枚。结论当前乳头癌患者在甲状腺癌当中占据着绝大多数,在甲状腺患者进行治疗之前,需对其作出超声波检查,促使患者诊断价值得以提升。与此同时,甲状腺癌当中,乳头状微灶癌VI区域淋巴转移有可能会出现比较高阳性,这就需要在临床上,针对需要的患者开展淋巴结清扫手术治疗。

Objective To analyze the clinical effect of ultrasonography in thyroid cancer patients complicated with lymphatic metastasis. Methods Clinical data about 112 thyroid cancer patients complicated with lymphatic metastasis treated from May 2014 to May 2016 in our hospital was reviewed. Results 97.32%（n =109） of the patients had the papillary carcinoma. The rate of papillary micro-carcinoma was 44.64%（n =50）. According to the B ultrasound results,the rate of refined calcification,fuzzy boundary,complex condition of refined calcification and fuzzy boundary,increasing blood supply and hypoecho was 62.5%（n=70）,64.28%（n=72）,55.35%（n=62）,37.5%（n=43） and 8.03%（n=9）. lymph node metastasis was found in 31 patient（27.6%）and the average number of lymph nodes was（2.41 ＋ 0.32）. Conclusion Most of the papillary carcinoma patients have the thyroid cancer. Before treatment,the ultrasonography is essential. For papillary micro-carcinoma patients complicated with VI regional lymphatic metastasis,the positive rate is high. In clinical practice,the lymph node dissection is required.