术前超声对甲状腺微小癌中央区淋巴结转移的诊断价值

发布时间：2018-02-01 22:59

本文关键词： 超声甲状腺微小乳头状癌淋巴结转移诊断　出处：《基因组学与应用生物学》2017年11期 　论文类型：期刊论文

【摘要】：本研究旨在观察术前超声诊断甲状腺微小乳头状癌淋巴结转移的情况,探讨超声诊断在评估PTMC的临床应用价值。选取2012年1月至2015年1月经我院确诊并在我院接受手术治疗的PTMC患者75例作为研究对象,将同期来我院接受治疗的良性甲状腺病变患者63例作为对照对象。根据不同患者的具体情况调节对超声仪的频率、增益、深度范围及焦点,并在术后制成病理石蜡切片,比较诊断情况。研究表明,患者的超声诊断结果与病理切片结果与正常人群不同。在超声下可见包膜不完整、形态不规则、边界模糊不清、内部回声不均匀、肿块结节内微钙化情况的影像学特征;在病理切片镜下可见砂粒体、肿块边界浸润情况,囊性变或纤维假包膜的情况。以病理检查结果作为参照,超声诊断的符合率为78.79%,灵敏度为75.86%,特异度为100%。由此可推断,超声诊断可作为术前诊断癌细胞中央区淋巴结转移,评价术中处理措施的重要检查手段之一。
[Abstract]:The purpose of this study was to observe the diagnosis of lymph node metastasis of thyroid micropapillary carcinoma by ultrasonography before operation. To evaluate the clinical value of ultrasound diagnosis in evaluating PTMC 75 patients with PTMC who were diagnosed in our hospital from January 2012 to 2015 and received surgical treatment in our hospital were selected as the study objects. Sixty-three patients with benign thyroid diseases received treatment in our hospital during the same period were selected as control subjects. The frequency, gain, depth range and focus of ultrasound were adjusted according to the specific conditions of different patients. The pathological paraffin sections were made after operation and the diagnosis was compared. The results showed that the results of ultrasonic diagnosis were different from those of normal people. Under the ultrasound the capsule was incomplete and the shape was irregular. The imaging features of the microcalcification in the nodules of the masses, such as blurred boundaries, uneven internal echo and microcalcification in the nodules of the masses. Sand bodies were seen under pathological section, tumor boundary infiltration, cystic degeneration or fibrous pseudocapsule were observed. The coincidence rate of ultrasound diagnosis was 78.79% according to the pathological examination results. The sensitivity is 75.86 and the specificity is 100. It can be inferred that ultrasonic diagnosis can be used as one of the important means for preoperative diagnosis of lymph node metastasis in the central region of cancer cells and evaluation of intraoperative management.
【作者单位】：哈励逊国际和平医院;海南医学院环境生物与生态教研室;海南医学院附属医院;
【基金】：海南医学院培育基金项目(HY2012-014) 海南卫生厅资助课题(琼卫2013资助-053号)共同资助
【分类号】：R445.1;R736.1
【正文快照】： *通讯作者,yangyun0705@163.comPreoperative Ultrasonography for Thyroid Papillary Carcinoma MetastasisLymph Node in Central Region of Diagnostic ValueMou Rongji1*Wu Lin2Wu Zhicheng31 Harrison International Peace Hospital,Hengshui,053000;2 Department of Env

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