鼻咽癌的CT表现及其与颈淋巴结转移的相关性分析  

CT manifestation of nasopharyngeal carcinoma and correlation analysis of neck lymph node metastasis

作　　者：张海荣[1] 吴加满 赵余祥[1] 罗小平[1] 沈健[2] 

机构地区：[1]浙江中医药大学附属温州市中医院放射科,浙江温州325000 [2]浙江省湖州市中心医院放射科,浙江湖州313000

出　　处：《中国医药导报》2014年第16期94-96,100,共4页China Medical Herald

基　　金：浙江省医药卫生科技计划项目(编号2012KYB198)

摘　　要：目的研究鼻咽癌的CT表现及颈淋巴结转移的特点。方法收集2012年1月～2014年1月在浙江中医药大学附属温州中医院初治110例鼻咽癌患者，均经病理活检证实，所有患者均行头颈部增强CT扫描，观察患者颈淋巴结的转移情况，记录患者的CT特征图，分析患者CT特征表现与颈淋巴结转移的特点。结果110例鼻咽癌患者中，65例（59．1％）发生颈淋巴结转移。不同患者肿瘤大小、形态、周围侵犯及强化特点的颈淋巴结转移率比较，差异均有统计学意义（x^2=24．301、19．557、20．368、19．273。P〈0．05）；不同肿瘤数目、钙化、坏死的颈淋巴结转移率比较，差异无统计学意义（x^2=0．365、1．058、0．964，P〉0．05）。结论鼻咽癌患者年龄、肿瘤大小、形态、周围侵犯及强化特点与其颈淋巴结转移相关，本研究结果可为头颈部肿瘤的诊断和鉴别诊断提供重要的参考依据。Objective To study CT manifestation and characteristics of neck lymph node metastasis of nasopharyngeal carcinoma. Methods From January 2012 to January 2014 in Traditional Chinese Medicine Hospital of Wenzhou City Affiliated to Zhejiang Chinese Medical University, 110 patients with nasopharyngeal carcinoma treated at the first time were collected, all of the cases were confirmed by pathological biopsy. All patients were given head and neck enhanced CT scanning, the neck lymph node metastasis of patients were observed, CT features of patients with diagram were recorded, the characteristics of CT features and analysis transfer was analyzed. Results Among 110 cases of nasopharyngeal carcinoma patients, 65 cases （59.1%） were transfer. The transfer rates of different patients at tumor size, shape, the surrounding invasion and strengthen characteristic analysis were compared, the differences were statistically significant （x^2=24.301, 19.557, 24.301, 19.557, P 〈 0.05）; the transfer rates of different number, calcification, tumor necrosis were compared, the differences were not statistically significant （x^2=0.365, 0.365, 1.058, P 〉 0.05）. Conclusion Age, tumor size, shape and surrounding invasion and strengthening characteristics of nasopharyngeal carcinoma patient are related with neck lymph node metastasis, and the results provides important reference basis for the diagnosis and differential diagnosis of head and neck cancer.

关 键 词：CT表现 鼻咽癌 颈淋巴结转移 特点 

分 类 号：R739.63[医药卫生—肿瘤]