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目的 :探究颈部第Ⅵ组淋巴结对桥本甲状腺炎和甲状腺乳头状癌的超声诊断价值。方法 :分析2014年1月~2015年12月在我院接受甲状腺检查的6508例住院病例的临床资料,观察组(82例)为甲状腺乳头状癌患者,对照组(654例)为桥本甲状腺炎的患者。结果 :两组患者超声检查下均显示低回声水平,两组患者在微钙化及血供程度上差异具有统计学意义,而在形态、边缘、回声水平差异均无统计学意义;观察组患者颈Ⅵ组淋巴结短径明显大于对照组,差异具有统计学意义。颈Ⅵ组淋巴结超声检查诊断甲状腺乳头癌的灵敏度为90.24%(74/82),特异度为79.97%(523/654),准确度为81.11%(597/736)。结论 :彩色多普勒超声检查颈部第Ⅵ组淋巴结对甲状腺乳头状癌与桥本甲状腺炎患者具有一定的鉴别诊断价值。
Objective: To investigate the diagnostic value of neck Ⅵ group of lymph nodes on Hashimoto’s thyroiditis and papillary thyroid carcinoma. Methods: The clinical data of 6508 inpatients undergoing thyroid examination in our hospital from January 2014 to December 2015 were analyzed. The observation group (82 cases) was thyroid papillary carcinoma. The control group (654 cases) was Hashimoto’s thyroid Inflammatory patients. Results: The echogenicity of the two groups of patients under ultrasound examination showed low echo level. There was significant difference between the two groups in the degree of micro-calcification and blood supply, but there was no significant difference in the morphology, edge and echo level. The neck Ⅵ group of lymph node diameter was significantly larger than the control group, the difference was statistically significant. The sensitivity of cervical Ⅵ group in diagnosing thyroid papillary carcinoma was 90.24% (74/82), specificity was 79.97% (523/654) and accuracy was 81.11% (597/736). Conclusion: Color Doppler ultrasonography neck Ⅵ group of lymph nodes of thyroid papillary thyroid carcinoma and Hashimoto’s thyroiditis patients have a certain differential diagnosis value.