摘要
目的 探讨术前超声检查评估甲状腺微小乳头状癌颈部淋巴结转移的临床价值.方法 选取甲状腺微小乳头状癌患者 90 例,其中颈部淋巴结转移患者 42 例作为观察组,非颈部淋巴结转移者 48 例为对照组,均行超声检测评估病灶的数目,测量计算直径、纵横比,并观察病灶结节形态、结节边界、结节回声、微钙化、侵犯被膜、内部血供等状况.结果 颈部淋巴结转移患者的主要超声特征为内部低回声、伴有微钙化点、囊性变、内部血流丰富.观察组病灶多发、直径(≥5 mm)、纵横比(≥1)、占比分别为 47.62%、80.95%、69.05%,均高于对照组的 14.58%、14.58%、20.83%,差异有统计学意义(P<0.05).结论 超声检查能对甲状腺微小乳头状癌患者颈部淋巴结是否转移进行预测.
Abstract
Objective To detect the clinical value of ultrasonography before operation in predicting cervical lymph node me-tastasis of thyroid micropapillary carcinoma.Methods 90 patients with thyroid micropapillary carcinoma from January in 2020 to June in 2023 were selected,including 42 patients with cervical lymph node metastasis as the study group,and 48 patients without cervical lymph node metastasis as the control group.All the patients were examined by ultrasonography,the number of the lesions were evaluated,the diameter and aspect ratio were measured,and the shape of the nodule,the border of the nod-ule,the echo of the nodule,the microcalcification,the invasion of the capsule and the internal blood supply were observed.Results The main ultrasonographic features were hypoechoic,microcalcification,cystic change and abundant internal blood flow.The multiple,diameter(≥5 mm),aspect ratio(≥1)and percentage of lesions in the study group were 47.62%,80.95%,69.05%respectively,higher than those in the control group 14.58%,14.58%,20.83%,the difference was statistically significant(P<0.05).Conclusion The detection of papillary thyroid carcinoma by ultrasonography can predict the cervical lymph node metastasis by observing and analyzing the ultrasonic signs.
基金项目
山东省医药卫生科技发展计划项目(2019WS103)
NETL
NSTL
万方数据