头颈部恶性肿瘤颈部淋巴结转移的磁共振成像诊断.pdfVIP

中华口腔医学杂志 1996 年 5 月第 31 卷第 3 期 1·37 · ·论　　著· 头颈部恶性肿瘤颈部淋巴结转移的 磁共振成像诊断 顾云峰　邱蔚六　罗济程　余　强 摘要　为探讨磁共振成像( , ) 诊断头颈部恶性肿瘤颈部淋巴结 m agnetic resonance im aging M R I ( 转移的意义, 作者用M R I 检查 62 例患者的颈部淋巴结情况, 并用双盲法对照 磁共振图像诊断与术 ) 后病理对照 分析。结果显示:M R I 发现颈部淋巴结转移灶的敏感率为 857% , 特异率为 948% , 准 确率为 896% ; 而单纯触诊发现转移性淋巴结的敏感率、特异率、准确率分别为 678% 、692% 、 689% 。经统计学处理,M R I 诊断的准确率明显高于单纯触诊。同时提出, 颈部淋巴结转移灶除了在 形态、大小方面发生改变外, 淋巴结的内部信号及其周围邻近的软组织结构亦有不同程度的改变。 关键词　淋巴转移　　肿瘤, 恶性　　磁共振成像 The M R I of cerv ical lym ph node m etastasis with malignan t tum or of the head and neck　　Gu Y un f eng , Q iu W eiliu, L uo J icheng , et al. S chool of S tom atology , S hang hai S econd M ed ical U niversity , S hang hai 200011 　 Abstract A p ro spective diagno stic study on cervical lymph node m etastasis from m alignant tu mo r of the head and neck using M R I w as perfo rm ed fo r 62 cases in o rder to assess the po tential o r lim itation of M R I fo r demontrating the patho logical cervical lymph node. T he double blind m ethod . (85. 7% ) , w as used in the study T he result revealsM R I has obvious h igher sensitivity h igher speci ficity (94. 8% ) and h igher accuracy (89. 6% ) than palpation. Besides changes in size and shape of the lymph nodes, the intensity ofM R I inside lymph nodes w as altered show ing, m ixed hypo iso intensity