超声诊断甲状腺乳头状癌中央区淋巴结转移的临床价值.pdfVIP

西部医学 2016 年 12 月第 28 卷第 12 期 Med J West Chîna ,December 2016 ,Vo l. 28 ,No. 12 • 1741 • ·论着· 超声诊断甲状腺乳头状癌中央区淋巴结转移的 临床价值并 吕燕芬陆永萍黄燕冷 (云南省第二人民医院超声科，云南昆明 650021) 【摘要】 目的 探讨超声对甲状腺乳头状癌CPTC) 中央区淋巴结CCLN) 转移的预测价值。方法 收集 2012 年 1 月 -2014 年 12 月在云南省第二人民医院行甲状腺超声检查，并经外科手术和病理证实的甲状腺乳头状癌患者 152 例，将超声诊断 CLN 转移与病理结果进行-致性检验。结果 超声判断淋巴结的形态和结构与 CLN 转移有关CP 0.0日，超声诊断 CLN 转移与术后病理相比，其敏感皮、特异度和准确度分别为 7.2% , 92. 8%和 55.9% ，超声判断 CLN 转移与术后病理结论的一致性为 K= - 0.0071 CP=O. 904) 。结论 淋巳结的形态和结构是判断 CLN 转移的影响因 素，超声诊断甲状腺乳头状癌 CLN 的准确性较低。 E关键词E 超声 p 甲状腺乳头状癌z 中央区淋巴结;转移 E申图分类号1 R445.1 (文献标志码1 A d创: 10. 3969/j. îssn. 1672-3511.2016.12.027 Clinical value of central Iymph node metastasis on papillary thyroid carcinoma with ultrasonograhpy LV Yanfen ,LU Yongping ,HUANG Yanling (Ðeþartment 0/ Ultrasound , The Second Peo户le Hos户ital 0/ Yunnan Provin时， Kunming 650021 , China) (Abstractl Objective To explore the value of centrallymph node CCLN) metastasîs în papillary thyroid carcinoma CPTC) with ultrasonograhpy CUS). Methods The retrospective analysis included 152 PTC patients received thyroid US examination , thyroidectomy and pathology from ]anuary , 2012 to December , 2014 in The Second People Hospital of Yunnan Province. The consistency of preoperative US dîagnosis of CLN metastasis with postoperative pathological re sults was tested. Results Ultrasonic diagnosis of lymph node metastasis are consistent with the morphology and struc ture of CLNCPO. 05). The preoperative US diagnosis of the CLN metastasis was consistent with the postoperative pathological