超声血流参数对甲状腺癌术后颈部淋巴结转移的预测价值分析  

Analysis of the predictive value of ultrasound blood flow parameters for postoperative cervical lymph node metastasis in thyroid cancer

作　　者：成晔 马玲[2] 唐榕[2] Cheng Ye;Ma Ling;Tang Rong(Department of Ultrasound,Guang′anmen Hospital of the Chinese Academy of Traditional Chinese Medicine,Beijing 100053,China;Department of Ultrasound,Xiyuan Hospital,Chinese Academy of Traditional Chinese Medicine,Beijing 100091,China)

机构地区：[1]中国中医科学院广安门医院超声科,北京100053 [2]中国中医科学院西苑医院超声科,北京100091

出　　处：《中国医师进修杂志》2024年第12期1085-1088,共4页Chinese Journal of Postgraduates of Medicine

摘　　要：目的分析甲状腺癌患者超声血流参数与淋巴结转移的关系。方法回顾性选择中国中医科学院广安门医院2020年8月至2022年12月诊治的53例甲状腺癌患者(观察组)和同期53例健康体检者(健康对照组),均行甲状腺超声检查,比较两组超声血流参数;根据有无淋巴结转移将甲状腺癌患者分为转移组(33)和无转移组(20例),比较两组超声血流参数、血流分级、声像图特征。结果观察组收缩期峰值流速(PSV)高于健康对照组,搏动指数(PI)、阻力指数(RI)低于正常对照组[(25.65±5.25)cm/s比(14.52±2.85)cm/s、0.51±0.13比0.63±0.16、0.82±0.11比1.15±0.24],差异均有统计学意义(P<0.05)。转移组PSV高于无转移组,PI、RI均低于无转移组[(29.65±3.76)cm/s比(19.20±2.96)cm/s、0.48±0.10比0.56±0.05、0.76±0.13比0.91±0.19],差异均有统计学意义(P<0.05)。转移组、无转移组血流分级比较差异有统计学意义(P<0.05)。转移组血流信号杂乱、血流丰富、微钙化、边界不清、内部回声不均、淋巴结纵横比(L/S)<2率均高于无转移组[54.55%(18/33)比25.00%(5/20)、78.79%(26/33)比50.00%(10/20)、57.58%(19/33)比20.00%(4/20)、66.67%(22/33)比35.00%(7/20)、63.64%(21/33)比30.00%(6/20)、63.64%(21/33)比25.00%(5/20)],差异均有统计学意义(P<0.05)。结论甲状腺癌患者超声血流参数异常,与淋巴结转移存在密切联系,通过定量检测超声血流参数,可为甲状腺癌病情评估提供可靠的参考依据。ObjectiveTo analyze the predictive value of ultrasound blood flow parameters for postoperative cervical lymph node metastasis in thyroid cancer.MethodsFifty-three patients with thyroid cancer who received medical treatment in Guang′anmen Hospital of China Academy of Chinese Medical Sciences from August 2020 to December 2022 were selected as the observation group,and 53 healthy patients who received physical examination in the physical examination center during the same period were selected as the healthy group.All of them were given ultrasound examination.The ultrasonic blood flow parameters including peak systolic flow velocity(PSV),pulsation index(PI),resistance index(RI)of the two groups were compared.The patients with thyroid cancer were divided into metastatic group(33 cases)and non-metastatic group(20 cases)according to the presence or absence of lymph node metastasis.The ultrasonic blood flow parameters,blood flow grading and ultrasonographic characteristics of the two groups were compared.ResultsThe levels of PSV in the observation group was higher than that in the health group,PI and RI were lower than those in the health group:(25.56±5.25)cm/s vs.(14.52±2.85)cm/s,0.51±0.13 vs.0.63±0.16,0.82±0.11 vs.1.15±0.24,there were statistical differences(P<0.05).The levels of PSV in the metastatic group was higher than that in non-metastatic group,PI and RI were lower than those in the non-metastatic group:(29.65±3.76)cm/s vs.(19.20±2.96)cm/s,0.48±0.10 vs.0.56±0.05,0.76±0.13 vs.0.91±0.19,there were statistical differences(P<0.05).The blood grade between the metastatic group and non-metastatic group had statistical difference(P<0.05).The rates of blood flow signal disjointed,blood flow abundant,micro-calcification boundary unclear,internal echo uneven and the length-width ratio<2 in the metastatic group were higher than those in the non-metastatic group:54.55%(18/33)vs.25.00%(5/20),78.79%(26/33)vs.50.00%(10/20),57.58%(19/33)vs.20.00%(4/20),66.67%(22/33)vs.35.00%(7/20),63.64%(21/33)vs.30.00%(6/20),63.64

关 键 词：甲状腺肿瘤 超声检查 淋巴转移 预测 

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]