术前彩超在诊断分化型甲状腺癌早期颈转移中的作用.pdfVIP

1!8llli 卫生与病所却14 任4 同第29 卷第2 期 Joumal of Occ叩ational Health and Dama晦， Apr.2014 Vo l. 29 , N叮叮 2 93 {论著】 术前彩超在诊断分化型甲状腺癌早期颈转移中的作用 何小英，莫晓浊，陈宏 [摘要]目的 研究术前影超在诊断分化型甲状腺癌早期颈转移中的作用c 方法 将渔南县人民医院80 倒患者随机分为 研究组和对照组两组，其中研究组患者为术前颈部触诊为阴性，由在超检查诊断为甲状腺癌须转移的 32(35 侧)例患者，对 照组为术前颈部触诊为阳性，诊断为甲状腺癌颈转移的48(50 侧)例患者，两组患者都受过改良型颈清扫术，同时比较两组 患者术前和术后的病理情况c 结果 由彩超诊断为颈转移的32 例患者中，术后病理有 25 侧为颈转移，彩超检查的灵敏度 为 89% 0 并且彩超发现有66% 的转移淋巴结为多分区转移，其中中颈为最高。病理发现有 769岛的转移淋巴结为多分区转 移，通过研究发现病理和彩超的检企结果基本相同c 结论 术前影超可以提高诊断分化型甲状腺癌早期呈页转移的诊断率， 并且对转移淋巴结进行准确定位:IJ [关键词] 术前影超;分化型甲状腺癌;颈转移 [中固分类号] H 736. 1 [文献标识码]A [文章编号] 1仪l6-172X(20l 4)02 -093-03 Effect of Pre - operation Color Doppler Ultrasound in Diagnosis of Early Stage Cervical Metastasis of Differentiated Thyroid Carcinoma HE Xiao - ying ,MO Xiao - hong , CHEN Hong Ultrasound Depαrtment ， TongnanCounty People s Hospital , Tongnan 402660 ,Chongqing , China. Abstract Objective To evaluate the effect of pre - operation color Doppler ultrasound in dîagnosis of early stage cervi- cal metastasìs of differentiated thyroid carcìnoma. Methods Eighty patients admitted in Tongnan County People s Hos- pital were randomly divided into control group and research group. 咀le research group included 32 (35 sides) patients of negative cervical palpation and diagnosed as thyroid cancer metastasis by color Doppler ultrasound; the control group included 48 (50 sides) patients of positive cervical palpation and diagnosed as thyroíd cancer metastasis by color Doppler ultrasound. The two groups b。由 received modified neck dissection and the pathologic conditions were com- pared pre and after the operation. Results Of the 32