超声诊断甲状腺乳头状癌中央区淋巴结转移的临床价值  

Clinical value of central lymph node metastasis on papillary thyroid carcinoma with ultrasonograhpy

作　　者：吕燕芬[1] 陆永萍[1] 黄燕玲[1] 

机构地区：[1]云南省第二人民医院超声科,云南昆明650021

出　　处：《西部医学》2016年第12期1741-1743,1751,共4页Medical Journal of West China

基　　金：云南省教育厅科学研究基金(2013C229)

摘　　要：目的探讨超声对甲状腺乳头状癌（PTC）中央区淋巴结（CLN）转移的预测价值。方法收集2012年1月～2014年12月在云南省第二人民医院行甲状腺超声检查，并经外科手术和病理证实的甲状腺乳头状癌患者152例，将超声诊断CLN转移与病理结果进行一致性检验。结果超声判断淋巴结的形态和结构与CLN转移有关（P〈0．05），超声诊断CLN转移与术后病理相比，其敏感度、特异度和准确度分别为7．2％，92．8％和55．9％，超声判断CLN转移与术后病理结论的一致性为K=-0．0071（P=0．904）。结论淋巴结的形态和结构是判断CLN转移的影响因素，超声诊断甲状腺乳头状癌CLN的准确性较低。Objective To explore the value of central lymph node （CLN） metastasis in papillary thyroid carcinoma （PTC） with ultrasonograhpy （US）. Methods The retrospective analysis included 152 PTC patients received thyroid US examination, thyroidectomy and pathology from January, 2012 to December, 2014 in The Second People Hospital of Yunnan Province. The consistency of preoperative US diagnosis of CLN metastasis with postoperative pathological results was tested. Results Ultrasonic diagnosis of lymph node metastasis are consistent with the morphology and structure of CLN（P〈0.05）. The preoperative US diagnosis of the CLN metastasis was consistent with the postoperative pathological results（Sn= 7.2 %, Sp： 92.8% and Ac= 55.9 %）. The Kappa test of US to pathology was K = -0. 0071 （P=0. 904）. Conclusion The morphology and structure of lymph node metastasis is to determine the influence factors of CLN. The accuracy of preoperative ultrasound diagnosis to CLN metastasis of PTC is very poor.

关 键 词：超声 甲状腺乳头状癌 中央区淋巴结 转移 

分 类 号：R445.1[医药卫生—影像医学与核医学]