超声联合CT对PTC患者早期颈部淋巴转移的诊断价值  

Diagnostic Value of Ultrasound Combined with CT in Early Cervical Lymphatic Metastasis of PTC Patients

作　　者：周娜[1] 徐秀梅[1] 王蓓[1] 王彪[1] 翟虹[1] ZHOU Na;XU Xiu-mei;WANG Bei(Department of Ultrasound,Affiliated Hospital of Traditional Chinese Medicine,Xinjiang Medical University,Xinjiang 830000,China)

机构地区：[1]新疆医科大学附属中医医院超声科

出　　处：《中国CT和MRI杂志》2019年第12期4-7,共4页Chinese Journal of CT and MRI

基　　金：新疆维吾尔自治区自然科学基金(编号：2018D01C292)

摘　　要：目的探讨超声联合CT对甲状腺乳头状癌(PTC)患者早期颈部淋巴转移的诊断价值。方法回顾性分析2017年4月至2018年4月我院术前经超声联合CT检查的138例PTC影像学患者作为研究对象,所有患者均经手术病理证实为甲状腺乳头状癌,比较术前超声、CT与超声联合CT检查的符合率。结果超声、CT及超声联合CT方法与术后病理诊断总符合率比较,组间差异显著(P<0.05);而超声联合CT诊断总符合率明显优于超声、CT诊断(P<0.05)。病灶直径>1.00cm,超声、CT及超声联合CT检查诊断符合率明显优于直径≤1.00cm PTC(P<0.05);超声、CT及超声联合CT诊断PCT颈部淋巴结转移与术后病理诊断符合率比较组间差异显著(P<0.05),且超声联合CT诊断符合率明显优于超声、CT诊断符合率组间差异显著(P<0.05),且CT诊断符合率优于超声(P<0.05)。结论超声联合CT诊断PTC患者早期颈部淋巴转移具有诊断意义,为患者临床早期发现病情及治疗提供参考。Objective To evaluate the diagnostic value of ultrasound combined with CT in early cervical lymphatic metastasis in patients with papillary thyroid carcinoma(PTC).Methods A retrospective analysis of 138 patients with PTC imaging who underwent ultrasound combined with CT before operation between April 2017 and April 2018 was performed,all confirmed by surgical pathology as papillary thyroid carcinoma.The coincidence rate of ultrasound,CT and ultrasound combined with CT examination before operation was compared.Results The total coincidence rate of ultrasound,CT and ultrasound combined with CT and postoperative pathological diagnosis was significant(P<0.05),the total coincidence rate of ultrasound combined with CT was significantly better than that of ultrasound and CT(P<0.05).The coincidence rate in lesion diameter>1.00cm by ultrasound,CT and ultrasound combined with CT was significantly better than that in≤1.00cm PTC(P<0.05).The coincidence rate of PCT cervical lymph node metastasis diagnosed by ultrasound,CT and ultrasound combined with CT as well as postoperative pathological diagnosis was significant(P<0.05),and the coincidence rate of ultrasound combined with CT was significantly better than that of ultrasound and CT;the coincidence rate of CT was better than that of ultrasound(P<0.05).Conclusion Ultrasound combined with CT is of diagnostic significance in the diagnosis of early cervical lymphatic metastasis in patients with PTC,which provides a reference for the early detection and treatment.

关 键 词：甲状腺乳头癌 超声 CT 淋巴转移 诊断 

分 类 号：R826.62[医药卫生—临床医学]