US-FNAB检测甲状腺乳头状癌颈部转移性淋巴结特征性研究  

The characteristic expression of US-FNAB detection in metastatic cervical lymph nodes of papillary thyroid carcinoma

作　　者：郭培杰[1] 黄岩[1] 郑璇[1] 陈松旺[1] GUO Peijie;HUANG Yan;ZHENG Xuan;CHEN Songwang(Department of Functional Examination,Nanjing Hospital Affiliated to Nanjing MedicalUniversity/Nanjing First Hospital,Nanjing,Jiangsu 210006,China)

机构地区：[1]南京医科大学附属南京医院/南京市第一医院功能检查科

出　　处：《国际检验医学杂志》2019年第19期2323-2326,共4页International Journal of Laboratory Medicine

基　　金：留学人员科技活动项目择优资助(人社厅函[2016]176号);南京市科技发展计划(201803009);南京市医学科技发展项目(YKK15089)

摘　　要：目的探讨超声引导下细针穿刺(US-FNAB)检测在甲状腺乳头状癌颈部转移性淋巴结中的诊断价值。方法选取2016年2月至2018年10月该院收治的95例甲状腺乳头状癌患者为研究对象,所有患者进行彩色多普勒超声及US-FNAB检查。记录超声及US-FNAB检查结果,并与术后病理学结果进行比较。结果超声检查共检出92枚目标淋巴结,其中92枚淋巴结可见淋巴门结构消失,18枚淋巴结内可见液化性坏死,24枚淋巴结内可见钙化灶,23枚淋巴结可见纵横比失衡,21枚淋巴结可见杂乱血流信号;US-FNAB检查准确率、灵敏度及特异度分别为94.00%、93.33%及100.00%。结论 US-FNAB检测甲状腺乳头状癌颈部转移性淋巴结的灵敏度、特异度及准确率高,具有较好的诊断价值。Objective To investigate the diagnostic values of ultrasound-guided fine-needle aspiration biopsy(US-FNAB)detection in metastatic cervical lymph nodes of papillary thyroid carcinoma.Methods A total of 95 patients with papillary thyroid carcinoma treated in a hospital from February 2016 to October 2018 were selected and they were examined by color Doppler ultrasound and US-FNAB.Results The results of ultrasound and US-FNAB were recorded and compared with postoperative pathology.Results The result of ultrasound found that 92 targeted lymph nodes were detected,and 92 lymph nodes showed echogenic fatty hilum loss,18 lymph nodes showed liquefaction necrosis,24 lymph nodes showed calcification foci,23 lymph nodes showed the imbalance of aspect ratio and 21 lymph nodes showed disorderly blood flow signals;The accuracy,sensitivity and specificity of US-FNAB were 94.00%,93.33% and 100.00%,respectively.Conclusion The US-FNAB detection in metastatic cervical lymph nodes of papillary thyroid carcinoma has high sensitivity,specificity and accuracy,and it has a high diagnostic value.

关 键 词：超声引导下细针穿刺 甲状腺乳头状癌 颈部转移性淋巴结 

分 类 号：R730.41[医药卫生—肿瘤]