摘要
目的分析评估超声诊断喉癌和喉咽癌颈部淋巴结转移的临床效果。方法选取我院2016年3月~2017年3月收治的50例喉癌和喉咽癌颈部淋巴结转移患者作为本次研究对象,根据临床中应用诊断方法的不同,基于随机分配方法将50例患者分成研究组与对照组,各25例。研究组采用超声诊断,对照组仅采用喉镜诊断,评估患者淋巴结转移情况,最后联合两组手术病理诊断结果评估临床效果。结果结合两组手术病理诊断结果,研究组应用超声诊断,诊断准确率72.00%,对照组诊断准确率60.00%,两组诊断准确率差异有统计学意义(P<0.05)。对研究组超声诊断结果进行多因素回归分析,淋巴结内部回声不均、周边型混合型血流及髓质变形预示着淋巴结转移。进一步对比分析两组对临床诊断淋巴结诊断价值进行分析,研究组诊断敏感性82.00%,特异性87.00%,准确率72.00%,对照组敏感性65.00%,特异性75.00%,准确率60.00%,两组对比差异具有统计学意义(P<0.05)。结论超声诊断喉癌和喉咽癌颈部淋巴结转移,临床具有较高诊断准确率,值得在临床推广应用超声诊断方法。
Objective To evaluate the clinical value of ultrasonography in the diagnosis of cervical lymph node metastasis of laryngeal carcinoma and hypopharyngeal carcinoma. Method In our hospital from March 2016 to March 2017, 50 cases of laryngeal and hypopharyngeal carcinoma with cervical lymph node metastases were studied. According to the clinical diagnosis of the different methods. The patients were divided into study group and control group using random allocation table method, 25 cases in each. The clinical study group received ultrasonographic diagnosis method for evalua- tion of patients with lymph node metastasis, while the control group was given laryngoscopy diagnosis method evaluation of patients with lymph node metastasis, clinical effect evalu- ation of two groups finally associated with surgical pathology results. Results Combined with the results of two groups of surgical pathological diagnosis, in the study group, the di- agnostic accuracy rate is 72%; while in the control group, the diagnosis accuracy rate is 60%. The diagnostic accuracy rate of the two groups is statistically significant （P 〈 0.05） . Multiple regression analysis was performed on the results of ultrasound diagnosis in the study group, the possibilities are associated with no echo in the lymph nodes, peripheral mixed blood flow and medulla deformation. Further comparative analysis of two groups of lymph nodes in diagnosis of clinical diagnosis, in the study group, the diagnostic sensitivity is 82%, the specificity is 87%, the accuracy is 72%, while in the control group, the sensitivity is 65%, the specificity is 75%, the accuracy rate was 60%, with significant difference between the two groups （P〈 0.05） . Conclusion Ultrasound diag- nosis of cervical lymph node metastasis of laryngeal cancer and hypopharyngeal cancer has a high diagnostic accuracy.
出处
《中国医学文摘（耳鼻咽喉科学）》
2017年第3期142-144,共3页
Chinese Medical Digest(Otorhinolaryngology)
关键词
喉咽癌
超声诊断
喉癌
淋巴结转移
Hypopharyngeal Carcinoma
Ultrasonography
Laryngeal Carcinoma
Lymph Node Metastasis
