高频超声联合FNAC对甲状腺乳头状癌颈部淋巴结转移的诊断价值  

The Value of High Frequency Color Doppler Ultrasound and Fine-needle Aspiration Cytology( FNAC) in the Diagnosis of Cervical Lymph Node Metastasis of Thyroid Papillary Carcinoma

作　　者：张宏春[1] 耿喆[1] ZHANG Hongchun;GENG Zhe(Liaocheng Second People's Hospital,Linqing,252600)

机构地区：[1]山东省聊城市第二人民医院,252600

出　　处：《实用癌症杂志》2018年第11期1869-1872,共4页The Practical Journal of Cancer

摘　　要：目的探讨高频彩色多普勒超声联合超声引导下细针穿刺细胞学检查(US-guided needle aspiration cytology,US-FNAC)对甲状腺乳头状癌颈淋巴结转移的诊断价值。方法对278例疑似发生颈淋巴结转移的甲状腺乳头状癌患者进行高频彩色多普勒超声检查及US-FNAC,并与术后病理学结果进行比较。结果高频彩色多普勒超声共检出270枚目标淋巴结,均有淋巴结门结构的消失,其中56枚淋巴结可见液化性坏死,72枚淋巴结可见钙化灶,69枚淋巴结可见杂乱血流信号。对其中疑似转移的100枚淋巴结进行US-FNAC,诊断符合率为97. 0%。结论高频彩色多普勒超声结合US-FNAC可提高术中对甲状腺乳头状癌转移性颈淋巴结的定位准确性,有效提高了临床上甲状腺乳头状癌发生颈淋巴结转移的检出率,有利于后期的治疗。Objective To investigate the value of high frequency color Doppler ultrasound and fi ne-needle aspiration cytology(FNAC)in the diagnosis of cervical lymph node metastasis of thyroid papillary carcinoma.Methods High frequency color Doppler ultrasound and ultrasound-guided FNAC(US-FNAC)were conducted in 278 patients with clinically suspected cervical lymph node metastasis of pathologically confirmed thyroid papillary carcinoma,and compared with postoperative pathology.Results The result of high frequency color Doppler ultrasound found that 270 cervical lymph nodes with loss of lymph node hilum were regarded as target lymph nodes.Of 270 target lymph nodes,cystic change could be seen in 56 lymph nodes,calcification in 72 lymph nodes,and disorderly blood flow signals in 69 lymph nodes;100 lymph nodes were further examined by US-FNAC,achieving a coincidence rate of 97.0%compared with the result of postoperative pathology.Conclusion High-frequency color Doppler ultrasonography combined with US-FNAC can improve the accuracy of intraoperative positioning of metastatic cervical lymph nodes in papillary thyroid carcinoma,and improve the detection rate of cervical lymph node metastasis in papillary thyroid carcinoma,which is conducive to late treatment.

关 键 词：甲状腺乳头状癌 颈部淋巴结转移 高频超声 细针穿刺细胞学检查 

分 类 号：R733.4[医药卫生—肿瘤]