超声结合针吸活检在判断甲状腺癌术后颈部淋巴结复发转移中的应用价值.pdfVIP

·.lIi跚跚颐霍伊圃嗣副团噩挡回酬圃密眩耀四111_ 超声结合针吸活检在判断甲状腺癌 术后颈部淋巴结复发转移中的 应用价值 【摘要】 目的 评价超声结合超声引导下细针抽吸细胞学检查在甲状腺癌术后颈部淋巴结转移中的诊断价值。方法 对 132 例甲状腺癌术眉患者的 148 枚淋巴结行超声检查，同时对淋巴结在超声引导下行细针抽吸细胞学检查，分析甲状腺痛术后颈部淋巴结 的超声特征表现。结果 148 枚淋巴结中有 119 枚淋巴结为转移惜，占穿刺淋巴结的 80.4%，非转移性淋凹结 29 枚，占 19.6%。转移 性淋巴结中有34.5%出现在朋组，有 40.3%出现在IV 姐。转移性淋巴结表现为类圆形，里等回声或偏离回声结节，回声分布不均匀，淋巴 结内部有钙化，血流信号 2-3 级。若根据超声表现为短轴/长轴0.5，阻声分布不均，淋巴结内部有钙化，淋巴结内血流信号2 阳 3 级其 病理诊断为转移性和非转移性两细间比较，挺异有统计学意义(P0.01 )。结论 甲状腺癌术后颈部转移淋巴结在形态、内部回声结构 及血流分布等方面有较为特征性表现，同时销合葫芦引导下的细针抽吸细胞学检遭可对姐告ß淋巴结的病理性质作出正确判断。 t 关键诩】 葫芦检查甲状牒肿瘤淋巴转移组织活检，细针 Ultrasonography with FNAC in evaluation 01 Iymph node metastasis in thyroid carcinoma CHEN Junyíng. XU Dong , WANG Líj的g. et 81. Depanment of Ultrasonography. Zhejíang Cancer Hospítal. Hangzhou 31ω122， China Abstract J Objective To evaluate the ultrasonography (US) combined with fine-needle aspiration cytology (FNAC) in di- agnosis of Iymph node metastasis in thyroid carcinoma. Methods One hundred and forty-eight cervicallymph nodes from 132 patients with thyroid carcinoma were studied by US with 严NAC after thyroidectomy , and the ultrasonic feature was analyzed. Re- sults Of 1481ymph nodes examined , 119 (80.4%) were metastatic. In all metastatic nodes 34.5% was located in • region , and 40.3% in IV region. On ultrasonography the metastatic nodes appeared round shape: they showed equal or high-Ievel and maldistribution echo , calcificatíon inside, and the blood flow was classified as degree 2 - 3. According to above ultrasonic char甲 acteristics ,metastatic Iymph nodes significantly differed from non-metastatic ones (P0.01). Conclusion Ultrasonography com- bined with FNAC is useful in diagnosis of cervicallymph node metastasis in thyroid carcinoma. Key words J Ultrasonography 丁hyroid neoplasms Lymphatic metastasis Biopsy, fine血needle 年4 月经常规超卢检查发现