论文部分内容阅读
目的:探讨超声检查在甲状腺乳头状癌的颈部淋巴结转移与颈部淋巴结结核鉴别诊断中的价值。方法:回顾分析经病理证实的54例甲状腺乳头状癌伴颈部淋巴结转移患者及29例颈部淋巴结结核患者的超声检查资料,分别观察其病变淋巴结数目、大小、形态、边界、淋巴门结构、钙化和囊性变及血流模式。结果:54例甲状腺乳头状癌患者共评估83个转移性淋巴结,29例淋巴结结核患者共评估48个淋巴结。2组间的淋巴结横径、形态、边界、淋巴门结构及囊性变等差异无统计学意义(P>0.05),而2组间的淋巴结最大径、钙化大小(粗钙化或细钙化)及血流模式差异有统计学意义(P<0.05)。结论:淋巴结的最大径、钙化大小及血流模式有助于甲状腺乳头状癌转移性淋巴结与颈部淋巴结结核间的鉴别诊断。
Objective: To investigate the value of ultrasonography in the differential diagnosis of cervical lymph node metastasis and cervical lymph node tuberculosis in papillary thyroid carcinoma. Methods: Fifty-four cases of pathologically confirmed thyroid papillary carcinoma with cervical lymph node metastasis and 29 cases of cervical lymph node tuberculosis were retrospectively analyzed. The number, size, morphology, boundary, lymphatic structures, Calcification and cystic degeneration and blood flow patterns. Results: A total of 83 metastatic lymph nodes were evaluated in 54 patients with papillary thyroid carcinoma, and a total of 48 lymph nodes were evaluated in 29 patients with lymph node tuberculosis. There were no significant differences in the diameter, shape, boundary, lymphatic structures and cystic changes between the two groups (P> 0.05), while the maximum diameter of lymph nodes, calcification size (coarse calcification or fine calcification) The difference of blood flow pattern was statistically significant (P <0.05). Conclusion: The maximum diameter of lymph nodes, calcification size and blood flow pattern contribute to the differential diagnosis between thyroid papillary carcinoma metastatic lymph nodes and cervical lymph node tuberculosis.