期刊文献+

术中穿刺检测鉴别淋巴结与甲状旁腺28例临床研究 被引量:9

Intra- operative puncture and identification for lymph nodes and parathyroid glands: A clinical study of 28 patients
原文传递
导出
摘要 目的探讨术中穿刺快速检测鉴别淋巴结和甲状旁腺的可行性。方法选择2014年1-7月第四军医大学西京医院收治的28例甲状腺癌病人,均行甲状腺癌根治术。行术中冰冻病理学检查的同时进行术中穿刺快速检测,比较两种方法的敏感度、特异度等诊断效能指标。结果 28例病人术中共检出40枚可疑结节,包含29枚可疑甲状旁腺、9枚可疑淋巴结、2枚可疑结节。甲状旁腺的术中总检出率为27.5%(11/40),淋巴结的总检出率为37.5%(15/40)。冰冻病理学检查与术后病理学检查一致,故以其为金标准,术中穿刺快速检测鉴定淋巴结的准确率为100%,鉴定甲状旁腺的准确率为93.1%(1例假阳性),敏感度为100%,特异度为97.0%。结论术中穿刺快速检测可准确鉴别术中可疑淋巴结,有助于甲状旁腺的保护及原位保留。 Objective To explore the feasibility of intra-operative puncture and real-time identification of lymph nodes and parathyroid glands. Methods A total of 28 thyroid cancer patients hospitalized into Xijing Hospital, the Fourth Military Medical University between January 2014 and July 2014 were included into the study and proceeded with radical surgery. When intra-operative frozen pathological detection proceeded, the intra-operative puncture and real-time identification was started at the same time. Finally, the diagnostic efficiency such as sensitivity and specificity of two methods was evaluated. Results A total of 40 suspicious nodes were distinguished in 28 patients, including 29 suspicious parathyroid glands, 9 suspicious lymph nodes and 2 other suspicious nodes. Intra-operative identification rate of parathyroid glands was 27.5% (11/40), while that of lymph nodes was 37.5% (15;40). Bases on the gold standard of frozen pathological results, the accuracy rate of lymph node and parathyroid glands detection was 100% and 93.1%, respectively. Meanwhile, the sensitivity and specificity of intra-operative parathyroid distinction was 100% and 97.0%. Conclusion The intra-operative rapid detection plays a significant role in distinguishing lymph nodes, which may enhance the protection and in-situ retention of parathyroid glands.
出处 《中国实用外科杂志》 CSCD 北大核心 2016年第11期1224-1226,共3页 Chinese Journal of Practical Surgery
基金 国家自然科学基金(No.8157110197)
关键词 甲状腺癌根治术 术中快速鉴别 甲状旁腺 原位保留 radical surgery of thyroid carcinoma rapid intraoperative identification parathyroid glands in-situpreservation
  • 引文网络
  • 相关文献

参考文献7

二级参考文献146

  • 1吕新生,李新营,王志明,周乐杜,李劲东.甲状腺手术所致喉返神经损伤的手术治疗[J].中华外科杂志,2005,43(5):301-303. 被引量:77
  • 2崔功浩,江依法.甲状旁腺的应用解剖学[J].中国临床解剖学杂志,1994,12(4):287-289. 被引量:7
  • 3钱碧云,何敏,董淑芬,王继芳,陈可欣.1981年至2001年天津市甲状腺癌的发病率和死亡率[J].中华内分泌代谢杂志,2005,21(5):432-434. 被引量:46
  • 4陈曦,蔡伟耀.甲状旁腺的解剖特点及其术中探查应注意的问题[J].诊断学理论与实践,2006,5(6):477-478. 被引量:28
  • 5赵平,陈万青,雷正龙,等.中国肿瘤登记年报-中国肿瘤登记地区2007年肿瘤发病死亡[M].北京:军事医学科学出版社,2011. 被引量:4
  • 6Paes J E, Hua K, Nagy R, etal. The relationship be- tween body mass index and thyroid cancer pathology fea- tures and outcomes., a clinicopathologieal cohort study [J].J Clin Endocrinol Metab, 2010, 95 (9): 4244-4250. 被引量:1
  • 7GLOBOCAN 2008. http: //globocan. iarc. fr/ Ortega J, Sala C, Flor B, etal. Efficacy and cost effec- tiveness of the UltraCision harmonic scalpel in thyroid sur- gery: an analysis of 200 cases in a randomized trial[J]. J Laparoendosc Adv Surg Tech A, 2004, 14 (1): 9 -12. 被引量:1
  • 8Kilfoy B A, Zheng T, Holford T R, et al. International patterns and trends in thyroid cancer incidence, 1973 2002 [J]. Cancer Causes Control, 2009, 20 (5): 525 -531. 被引量:1
  • 9Dal Maso L, Lise M, Zambon P, etal. Incidence of thy- roid cancer in Italy, 1991 2005: time trends and age-period- cohort effects[J]. Ann Oncol, 2011, 22 (4): 957-963. 被引量:1
  • 10Dal Maso L, Lise M, Zambon P, etal. Incidence of thy- roid cancer in Italy, 1991 2005 time trends and age-period- cohort effects[J].Ann Oncol, 2011, 22 (4): 957-963. 被引量:1

共引文献575

同被引文献90

引证文献9

二级引证文献55

;
使用帮助 返回顶部