二维超声联合彩色多普勒超声诊断分化型甲状腺癌淋巴结转移的临床价值

Clinical value of color doppler ultrasound and two-dimensional ultrasound in the diagnosis of lymph node metastasis of differentiated thyroid carcinoma

目的探讨二维超声联合彩色多普勒超声对分化型甲状腺癌(DTC)淋巴结转移的诊断价值。方法选取商丘市第一人民医院2017年7月至2019年2月收治的93例疑似DTC淋巴结转移患者作为研究对象,指定同一名高年资、高职称超声检查医师于术前对其行二维超声联合彩色多普勒超声检查,记录其超声检查结果,并与手术确诊结果进行对比研究。结果93例疑似DTC淋巴结转移患者超声检查阳性率为90.32%(84/93),手术确诊DTC淋巴结转移率为92.47%(86/93),差异未见统计学意义(P>0.05);二维超声、彩色多普勒超声对DTC淋巴结转移敏感性为96.51%(83/86)、特异性为85.71%(6/7)。结论二维超声、彩色多普勒超声联合诊断DTC淋巴结转移具有重要的临床应用价值。

Objective To investigate the diagnostic value of two-dimensional ultrasound combined with color Doppler ultrasound(color Doppler ultrasound)in lymph node metastasis of differentiated thyroid carcinoma(DTC).Methods A total of 93 patients with suspected DTC lymph node metastasis admitted in the First People's Hospital of Shangqiu from July 2017 to February 2019 were selected as the subjects of this study.Combined with color Doppler ultrasound examination,the results of ultrasound examination were recorded and compared with the results of surgical diagnosis.Results The positive rate of 93 patients with suspected DTC lymph node metastasis on ultrasound examination was 90.32%(84/93),and the rate of surgically confirmed DTC lymph node metastasis was 92.47%(86/93),the difference was not significant(P>0.05).The sensitivity of two-dimensional ultrasound and color Doppler ultrasound to DTC lymph node metastasis was 96.51%(83/86),and the specificity was 85.71%(6/7).Conclusions Two-dimensional ultrasound and color Doppler ultrasound combined with DTC lymph node metastasis have important clinical application value.