超声诊断甲状腺乳头状癌颈部淋巴结转移的临床价值

Clinical Value of Ultrasonography in the Diagnosis of Cervical Lymph Node Metastasis of Papillary Thyroid Carcinoma

目的观察甲状腺乳头状癌颈部淋巴结转移的特点,探讨超声在临床诊断和治疗中的价值.方法通过超声观察甲状腺癌患者的甲状腺和颈部肿大淋巴结,然后对比分析超声及术后病理诊断结果.结果超声结果显示:51例患者中共有109枚颈部转移性淋巴结,16枚颈部非转移性淋巴结;术后病理报告有颈部转移性淋巴结98枚,颈部非转移性淋巴结12枚.同时出现多枚淋巴结转移的患者比单个淋巴结转移的患者超声检出率高(χ^2=6.736,P=0.031).结论超声对甲状腺乳头状癌颈部淋巴结转移情况的诊断精准率高,可为患者制定个体化手术治疗方案提供参考.

Objective Observe the characteristics of cervical lymph node metastasis of papillary carcinoma,and analyze the value of ultrasound in clinical diagnosis and treatment.Method Observe the patients with enlarged thyroid and neck lymph nodes by ultrasound,and then compare the results of ultrasound diagnosis with postoperative pathological diagnosis.Results In the report on 51 studies,109 metaphorical knots were identified at the neck and 16 non-metaphorical knots on the neck;In the post-pathological report,98 metaphorical knots were identified at the neck and 12 metaphorical lymphonocities on the neck.In addition,ultrasound detection rate of patients with several lymph nodes is higher than that of patients with only one lymph node (χ^2= 6.736,P = 0.031).Conclusion Ultrasound is highly accurate in the diagnosis of cervical lymph node metastasis of thyroid papillary carcinoma,and it can provide the references for individual surgical treatment plan.