甲状腺癌颈部转移性淋巴结超声影像特征分析.pdfVIP

第 37 卷第 6 期 河北医科大学学报 Vo1. 37 No.6 • 684. 2016 年 6 月 JQURNAL OF HEBEI MEDICAL UNIVERSITY . June 2016 ·论著· 甲状腺癌颈部转移性淋巳结超声影像特征分析 李佳 (河北省嘟嘟市中心医院功能科，河北嘟嘟 05600 1) [摘要] 目的观察甲状腺癌颈部转移性淋巴结超声特点，探讨超声在甲状腺癌颈部转移性淋巴结诊断中的 应用价值。方法分析 169 例患者 503 枚甲状腺癌颈部转移淋巴结的超声影像特征。结果甲状腺癌颈部转移性 淋巴结呈中等或偏低回声，淋巴结血流以周边型和无血流型血供为主，不同病理类型甲状腺癌转移性淋巴结长径 (L)、短径 (S) 、L!S 及阻力指数(resistance index.RD差异无统计学意义 (PO.O日 .L/S 比值均数1. 8 ，血流 RI 均 数0.6 0 微钙化(钙化灶2 mm)是甲状腺乳头状癌转移性淋巴结的特征性表现。结论甲状腺癌转移性淋巴结 有典型的超声影像特点，掌握其特征性表现有助于提高检出率，有重要的临床实用价值。 [关键词] 甲状腺肿瘤;淋巴结;超声检查 doi: 10.3969 /j. issn.1007-3205.2016.06.017 [中图分类号] R736.1 [文献标志码] A [文章编号] 1007-3205(2016)06-0684-03 Ultrasonic feature analysis of cervical metastatic Iymph nodes in thyroid carcinoma LI Jia (Department of Function. the Central Hospital of Handan City. Hebei Province. Handan 056001 , China) [Abstract] Obj配tive To observe the ultrasonographic features of cervical lymph node metastasis in thyroîd carcinoma , and to investigate the value of ultrasonography in the diagnosis of cervicallymph node metastasis of thyroid carcinoma. Methods Ultrasound imaging features of 503 cases of cervical metastatic lymph nodes in 169 patients with thyroid carcinoma were analyzed. Results Metastatic lymph nodes in the neck of thyroid carcinoma show medium or low echo , lymph node blood mainly showed peripheral blood supply type and no blood supply type. There was no significant difference in metastatic lymph node length( L), short diameter(S) , L/S and resistance index (RI) in different pathological types of thyroid carcinoma (P O. 05). L/S ratio mean value was less than 1. 8 and blood flow RI mean number was more than O. 6. Micro calcification(calcification foci2 mm ) was the characteristic manifestation of metastatic lymph nodes in papillary carcinoma of the thyroid gland. Conclusion The metastatic lymph nodes of thyroid carcinoma have typical characteristics of ultrasound image. To master the characteristics of the manifestation is helpful to improve the detection rate