彩超对甲状腺癌淋巴结转移、病理分期及疗效评估的诊断价值  

The Diagnostic Value of Color Ultrasound in Lymph Node Metastasis,Pathological Staging,and Efficacy Evaluation of Thyroid Cancer

作　　者：赵欣然 ZHAO Xin-ran(Ultrasound Department,Dandong First Hospital,Liaoning Dandong 118000)

机构地区：[1]丹东市第一医院超声科,辽宁丹东118000

出　　处：《中国医疗器械信息》2025年第4期111-113,共3页China Medical Device Information

摘　　要：目的:分析彩超对甲状腺癌患者淋巴转移及病理分期的诊断效能,同时观察彩超对患者诊疗后疗效的评估价值。方法:回顾性分析2023年3月~2024年3月本院肿瘤科收治的甲状腺癌患者病例资料共60例,所有患者均完善彩超并行病理检查,记录患者淋巴结转移和分期情况,观察患者彩超下相关血流参数[搏动指数(PI)、收缩期峰值流速(PSV)、阻力指数(RI)、舒张末期血流速度(EDV)、收缩期与舒张期流速比值(S/D)],以分析彩超下相关血流参数与甲状腺癌患者淋巴结转移和病理分期相关性及其对患者预后的评估价值。结果:甲状腺癌患者出现淋巴结转移或病理Ⅲ~Ⅳ期者其相关彩超血流参数均显著高于无淋巴结转移及病理Ⅰ~Ⅱ期患者,两者对比差异显著,P<0.05。经Pearson检验,相关血流参数指标与患者淋巴结转移及分期具有正相关性,P<0.05。经治疗临床症状及实验室检查效果良好者彩超下相关血流参数指标均显著低于疗效不佳者,P<0.05。结论:彩超血流参数对甲状腺癌患者分期及淋巴结转移情况和患者治疗后临床疗效均有一定诊断价值,是甲状腺癌患者诊断及疗效评价的重要检查方式。Objective:To analyze the diagnostic efficacy of color ultrasound in lymph node metastasis and pathological staging of thyroid cancer patients,and to observe the evaluation value of color ultrasound in the efficacy of patient diagnosis and treatment.Methods:A retrospective analysis was conducted on 60 cases of thyroid cancer patients admitted to the Oncology Department of our hospital from March 2023 to March 2024.All patients underwent complete color ultrasound and pathological examination to record their lymph node metastasis and staging.Relevant blood flow parameters under color ultrasound were observed,including pulsatility index(PI),peak systolic velocity(PSV),resistance index(RI),end diastolic blood flow velocity(EDV),and systolic to diastolic flow velocity ratio(S/D),to analyze the correlation between blood flow parameters under color ultrasound and lymph node metastasis and pathological analysis in thyroid cancer patients,as well as their evaluation value for patient prognosis.Results:The blood flow parameters of thyroid cancer patients with lymph node metastasis or pathological stage III-IV were significantly higher than those without lymph node metastasis and pathological stage I-II patients,and the difference between the two was significant,with P<0.05.According to Pearson test,there was a positive correlation between relevant blood flow parameters and lymph node metastasis and staging in patients,with P<0.05.Patients with good clinical symptoms and laboratory test results after treatment have significantly lower blood flow parameters under color ultrasound compared to those with poor efficacy,with P<0.05.Conclusion:Color ultrasound blood flow parameters have certain diagnostic value for thyroid cancer patients’staging,lymph node metastasis,and clinical efficacy after treatment,and are an important diagnostic and therapeutic evaluation method for thyroid cancer patients.

关 键 词：超声诊断 甲状腺癌 淋巴结转移 疗效评价 

分 类 号：R445.1[医药卫生—影像医学与核医学]