术前超声引导注射与术中注射纳米碳在甲状腺乳头状癌淋巴结清扫中的应用效果对比  

Effects of preoperative ultrasound-guided and intraoperative carbon nanoparticles injection on lymph node clearance of papillary thyroid carcinoma

作　　者：周正国[1] 刘牛[1] 丁钱山 陈晨[2] 任明[2] 何领[2] 徐鲲[2] ZHOU Zhengguo;LIU Niu;DING Qianshan;CHEN Chen;REN Ming;HE Ling;XU Kun(Department of Ultrasound,Jiangsu Hospital of Traditional Chinese Medicine,Nanjing Jiangsu 210004,China;Department of General Surgery,Jiangsu Hospital of Traditional Chinese Medicine,Nanjing Jiangsu 210004,China)

机构地区：[1]江苏省中医院超声科,江苏南京210004 [2]江苏省中医院普外科,江苏南京210004

出　　处：《江苏大学学报（医学版）》2022年第4期288-291,共4页Journal of Jiangsu University：Medicine Edition

摘　　要：目的:对比术前超声引导注射与术中注射纳米碳在甲状腺乳头状癌淋巴结清扫中的淋巴示踪效果。方法:回顾性分析我院行甲状腺乳头状癌手术162例患者的临床资料,其中术前超声引导注射纳米碳组59例,术中注射纳米碳组103例。分析两组患者淋巴结清扫数目和转移淋巴结的检出数目。结果:术前超声引导注射纳米碳组平均淋巴结清扫数、转移淋巴结检出数、<5 mm淋巴结清扫数、<5 mm转移淋巴结检出数、>5 mm淋巴结清扫数、>5 mm转移淋巴结检出数、中央区淋巴结清扫数、中央区转移淋巴结检出数、侧颈区淋巴结清扫数、侧颈区转移淋巴结检出数均明显高于术中注射纳米碳组(P<0.05和P<0.001)。结论:术前超声引导纳米碳注射较术中注射有更好的淋巴结清扫率。Objective:To investigate effects of preoperative ultrasound guidance and intraoperative injection of carbon nanoparticles on lymph node clearance of thyroid papillary carcinoma.Methods:The clinical data of 162 patients undergoing thyroid papillary carcinoma surgery in our hospital were retrospectively analyzed,including 59 patients in the preoperative ultrasound guided group and 103 patients in the intraoperative carbon nano injection group.The number of dissected lymph nodes and the number of detected metastatic lymph nodes in the two groups were analyzed.Results:The numbers of lymph node clearance,metastasis lymph node detection,<5 mm lymph node clearance,<5 mm metastasis lymph node detection,>5 mm lymph node clearance,>5 mm metastasis lymph node detection,lymph node clearance in central region,the central transfer lymph node detection,lateral neck lymph node clearance,lateral neck metastasis lymph node detection in preoperative ultrasound guided group were higher than those in intraoperative injection group(P<0.05 and P<0.001).Conclusion:Compared with intraoperative injection group,preoperative ultrasound-guided carbon nanoparticles injection exents better lymph node clearance rate.

关 键 词：超声引导 纳米碳 甲状腺乳头状癌 淋巴结清扫 

分 类 号：R653[医药卫生—外科学] R736.1[医药卫生—临床医学]