超声造影评估颈部淋巴结结核与甲状腺乳头状癌转移性淋巴结的价值  

Diagnostic Value of Contrast-enhanced Ultrasound Between Cervical Lymph Node Tuberculosis and Metastatic Lymph Nodes From Papillary Thyroid Carcinoma

作　　者：张莹 于天琢 王彩芬[1] 苏冬明 张文智[1] 杨高怡[1] Zhang Ying;Yu Tianzhuo;Wang Caifen;Su Dongming;Zhang Wenzhi;Yang Gaoyi(Department of Ultrasonography,Zhejiang Integrated Traditional and Western Medicine Hospital,Hangzhou,Zhejiang 310003,China)

机构地区：[1]浙江省中西医结合医院(杭州市红十字会医院),杭州市310003

出　　处：《中国超声医学杂志》2020年第10期876-879,共4页Chinese Journal of Ultrasound in Medicine

基　　金：浙江省医药卫生科技计划项目(No.2019KY513、No.2020KY732);杭州市农业与社会发展科研主动设计项目(No.20190101A09);2018年杭州市社会发展自主申报项目(No.20180533B68)。

摘　　要：目的探讨超声造影(CEUS)在颈部淋巴结结核(LNTB)与甲状腺乳头状癌(PTC)转移性淋巴结鉴别诊断中的应用价值。方法回顾性分析经病理证实的64例颈部LNTB和50例PTC转移性淋巴结患者的CEUS表现,分析各指标在两者鉴别中的价值。结果CEUS后,64例颈部LNTB与50例PTC转移性淋巴结的坏死面积比及增强均匀性差异均有统计学意义(P<0.05);两组淋巴结的坏死位置及增强方式差异均无统计学意义(P>0.05);增强后颈部LNTB大小较常规超声增大多见(34/64,53.1%),PTC转移性淋巴结大小以无变化多见(43/50,86.0%),存在显著的差异(P<0.001)。结论结合常规超声,CEUS能够在淋巴结血流灌注特征上进一步提供信息,有助于鉴别颈部LNTB及PTC转移性淋巴结。Objective To analyze the characteristics of contrast-enhanced ultrasound(CEUS)in cervical lymph node tuberculosis(LNTB)and metastatic lymph nodes of papillary thyroid carcinoma(PTC).Methods The images of 64 patients with cervical LNTB and 50 patients with PTC confirmed by pathology were reviewed.The pattern of CEUS were recorded.Results There were statistically significant difference of the necrotic area ratio,intensity and size of CEUS between two diseases(P<0.05).Conclusions Combined with conventional ultrasound,CEUS can provide valuable information of lymph node blood flow,which can help to identify the cervical LNTB and metastatic lymph nodes from PTC.

关 键 词：超声造影 淋巴结结核 甲状腺乳头状癌 颈部 转移 

分 类 号：R445.1[医药卫生—影像医学与核医学] R736.1[医药卫生—诊断学]