超声对胆管癌淋巴结转移的诊断价值  

Value of ultrasonograpy in diagnosing metastatic lympha nodes of cholangiocarcinoma

作　　者：张晖[1] 陈敏华[1] 霍苓[1] 严昆[1] 廖盛日[1] 张琳[1] 黄信孚[2] 

机构地区：[1]北京大学北京肿瘤医院超声科,100036 [2]北京大学北京肿瘤医院外科,100036

出　　处：《中华超声影像学杂志》2002年第8期478-480,共3页Chinese Journal of Ultrasonography

摘　　要：目的　完善超声对胆管癌TNM分期的诊断研究。方法　观察 73例胆管癌患者肿大淋巴结声像图特征 ,并根据胆管肿瘤部位将肿大淋巴结的部位分为四个区域。结果　超声显示淋巴结肿大 3 1例 ,转移 2 3例 ,炎症 6例 ;诊断敏感性 71.8% ,特异性 80 .4% ,诊断正确率 76.7%。转移淋巴结多边缘不清晰 (65 .2 % ) ,炎症淋巴结边缘多清晰 (83 .0 % ) ,在大小、回声、形态方面两组无明显差异。结论　超声为诊断胆管癌淋巴结转移的良好手段 ,重视淋巴结边缘形态及浸润征象有助于鉴别诊断 ,超声能较准确地判断淋巴结部位及分区 。Objective To improve the ability of ultrasonography to demonstrate pleiades,and its diagnosing rate.Methods Evaluation the sonographic characteristics of those pleiades of cholangiocarcinoma.All the lympha nodes were classified into four areas according to the situs of the carcinoma.Results Thirty one cases of adenophyma,23 cases of metastasis,and 6 cases of inflammation were revealed.The diagnostic sensitivity was 71.8% ,the specificity was 80.4% ,accuracy was 76.7% .Analyzing the sonograms,metastatic lympha nodes always had blur edges ( 65.2% ),but those inflammatory lympha nodes mostly had clear fringe.But there was no significant difference in size,echogenicity and morphology between those two groups.Conclusions Ultrasonography is a useful method in diagnosing metastatic lympha nodes of cholangiocarcinoma.Respecting the edge and other infiltrate signs of lympha nodes will be helpful in identification.Ultrasound can locate lympha nodes more accurately,so it can provide data for tumor staging before surgery.

关 键 词：胆管癌 淋巴结转移 超声波诊断 肿瘤转移 

分 类 号：R735.8[医药卫生—肿瘤] R730.41[医药卫生—临床医学]