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彩超诊断分化型甲状腺癌颈淋巴结转移的临床价值 被引量:5

Clinical value of Color Doppler Ultrasound in diagnosis of cervical lymph node metastasis of differentiated thyroid carcinoma
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摘要 目的彩超诊断分化型甲状腺癌颈淋巴结转移的临床价值。方法抽取本院于2016年4月至2018年3月期间收治的60例需手术治疗疑似甲状腺癌早期淋巴结转移患者作为此次的观察对象,按照患者家属接受诊断方式的不同,将其随机分为观察组与对照组,每组各30例。对照组采用常规诊断方式(螺旋CT增强双期扫描),而观察组采用彩色多谱勒超声进行诊断。两组患者分别入院治疗1周后,将两组的检查结果与病理结果进行对比,从中得出检查准确率。并且分析所有患者淋巴结的形态分布、内部回声、边界情况和内部供血情况。结果两组患者均接受检查后,对照组检查准确率低于观察组,组间差异有统计意义(P<0.05)。结论对疑似甲状腺癌早期淋巴结转移患者术前进行彩超检查,其诊断率相对较高,具有临床推广的意义。 Objective To evaluate the clinical value of color Doppler ultrasonography in the diagnosis of cervical lymph node metastasis in differentiated thyroid carcinoma.Methods From April 2016 to March 2018,60 patients with suspected early lymph node metastasis of thyroid carcinoma were selected as the observation objects.They were randomly divided into observation group and control group with 30 cases in each group.The control group was diagnosed by conventional method(spiral CT enhanced dual-phase scan),while the observation group was diagnosed by color Doppler ultrasound.After one week of admission,the results of the two groups were compared with the pathological results.Ratio,from which to get the accuracy of the examination.The morphologic distribution,internal echo,boundary and internal blood supply of lymph nodes in all patients were analyzed.Results After the two groups were examined,the accuracy of examination in the control group was lower than that in the observation group,and the difference between the two groups was statistically significant(P<0.05).Conclusion The diagnosis rate of suspected thyroid cancer patients with early lymph node metastasis before operation is relatively high,which is of clinical significance.
作者 冯美霞 Feng Meixia(Department of Color Ultrasound,Jiangxi Jingdezhen Traditional Chinese Medicine Hospital,Jingdezhen,Jiangxi,333000,China)
出处 《当代医学》 2019年第23期48-50,共3页 Contemporary Medicine
关键词 彩超 甲状腺癌颈淋巴结转移 临床价值 Color Doppler Ultrasonography Cervical lymph Node Metastasis of thyroid carcinoma Clinical value
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