彩超对甲状腺癌颈部淋巴结转移诊断分析的回顾性研究

摘要

目的：研究分析临床面对甲状腺癌颈部淋巴结转移患者时，对其实施彩超诊断的临床意义。方法：随机抽取近期内笔者所在医院收治的45例甲状腺癌颈部淋巴结转移患者的临床超声诊断资料，根据资料分析总结患者淋巴结转移的特点。结果：本组45例淋巴结转移患者经术后病理证实，合计发生269枚转移性淋巴结、161枚反应增生性淋巴结；在淋巴结的纵横比、门部高回声消失率、内部点状高回声率、囊性变发生率及周边型血流信号的出现率方面比较，转移性淋巴结的发生率显著高于反应增生性淋巴结的发生率(P<0.05)。结论：彩超检查可以较为明确地对甲状腺癌颈部的淋巴结转移类型进行鉴别，这对辅助临床对患者实施治疗具有至关重要的意义，值得临床推广应用。%Objective:To study the clinical analysis in the face of cervical lymph node metastasis of thyroid carcinoma patients,given its clinical significance of color Doppler ultrasound diagnosis.Method:We randomly selected 45 cases of cervical lymph node metastasis of thyroid carcinoma in our hospital in the recent clinical ultrasound diagnosis of patient data,according to the characteristics of data analysis in patients with lymph node metastasis.Result:In this group,45 cases of lymph node metastasis patients confirmed by pathology examination after operation,total 269 pieces of metastatic lymph nodes,161 pieces hyperplasia lymph node;In the lymph nodes of the aspect ratio,the door high echo disappearance rate,internal punctate hyperechoic rate,cystic change rate and peripheral blood flow signal rate a few more,the incidence of metastatic lymph nodes was significantly higher than the incidence of hyperplastic lymph node reaction(P<0.05).Conclusion:Color Doppler ultrasound can identify transfer type node more clear for thyroid cancer neck lymph,the auxiliary clinical treatment has vital significance to patients,is worthy of clinical application.