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彩色多普勒血流成像与超声弹性成像单独及联合检查对甲状腺乳头状癌患者颈部淋巴结转移的诊断价值

Diagnostic value of color Doppler flow imaging and ultrasound elastography single and combined examination for cervical lymph node metastasis in patients with papillary thyroid carcinoma
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摘要 目的 探讨彩色多普勒血流成像(CDFI)与超声弹性成像单独及联合检查对甲状腺乳头状癌(PTC)患者颈部淋巴结转移的诊断价值。方法 选取107例PTC患者,均行CDFI和超声弹性成像检查。以病理诊断结果为金标准,分析CDFI与超声弹性成像单独及联合检查对PTC患者颈部淋巴结转移的诊断价值。结果 病理检查结果显示,107例PTC患者中,发生颈部淋巴结转移28例,未发生颈部淋巴结转移79例。CDFI检查诊断PTC患者颈部淋巴结转移的准确度、特异度、灵敏度分别为82.24%、86.08%、71.43%,与病理检查结果的一致性Kappa值为0.556。超声弹性成像检查诊断PTC患者颈部淋巴结转移的准确度、特异度、灵敏度分别为82.24%、87.34%、67.86%,与病理检查结果的一致性Kappa值为0.546。CDFI及超声弹性成像联合检查诊断PTC患者颈部淋巴结转移的准确度、特异度、灵敏度分别为84.11%、84.81%、82.14%,与病理检查结果的一致性Kappa值为0.620。结论 CDFI及超声弹性成像联合检查对PTC患者颈部淋巴结转移的诊断价值较高,尤其是在灵敏度、准确度方面更具优势,能够提高颈部淋巴结转移评估的准确率,降低漏诊率。 Objective To explore the diagnostic value of color Doppler flow imaging(CDFI)and ultrasound elastog-raphy single and combined examination for cervical lymph node metastasis in patients with papillary thyroid carcinoma(PTC).Method A total of 107 PTC patients were selected and underwent CDFI and ultrasound elastography examina-tion.Pathological examination results were used as the gold standard,the diagnostic value of CDFI and ultrasound elas-tography single and combined examination for cervical lymph node metastasis in PTC patients were analyzed.Result Pathological examination results showed that among 107 PTC patients,28 cases had cervical lymph node metastasis,79 cases did not have cervical lymph node metastasis.The accuracy,specificity,and sensitivity of CDFI examination in diag-nosing cervical lymph node metastasis in PTC patients were 82.24%,86.08%and 71.43%,respectively,and the Kappa value of consistency with pathological examination results was 0.556.The accuracy,specificity,and sensitivity of ultra-sound elastography examination in diagnosing cervical lymph node metastasis in PTC patients were 82.24%,87.34%and 67.86%,respectively,and the Kappa value of consistency with pathological examination results was 0.546.The accuracy,specificity,and sensitivity of CDFI and ultrasound elastography combined examination in diagnosing cervical lymph node metastasis in PTC patients were 84.11%,84.81%and 82.14%,respectively,and the Kappa value of consistency with pathological examination results was 0.620.Conclusion CDFI and ultrasound elastography combined examination has high diagnostic value for cervical lymph node metastasis in PTC patients,especially in terms of sensitivity and accuracy,which can improve the accuracy of cervical lymph node metastasis assessment and reduce missed diagnosis rate.
作者 曹盼盼 罗莹莹 张真真 CAO Panpan;LUO Yingying;ZHANG Zhenzhen(Department of Ultrasound,the Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,He’nan,China)
出处 《癌症进展》 2024年第22期2482-2485,共4页 Oncology Progress
关键词 彩色多普勒血流成像 超声弹性成像 甲状腺乳头状癌 颈部淋巴结转移 color Doppler flow imaging ultrasound elastography papillary thyroid carcinoma cervical lymph node metastasis
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