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目的 评价联合常规超声及超声造影评分法在诊断颈部转移性淋巴结中的应用价值.方法 82例患者82个肿大淋巴结.常规超声以淋巴结短轴厚度、长短轴比值、淋巴门、淋巴结回声均匀情况四个方面计分;超声造影以淋巴结开始增强位置、方式、强度、均匀度四个方面计分.每个特征各为0分或1分,总分0～8分.结果 82个肿大淋巴结中47个为转移性淋巴结,35个为淋巴结反应性增生.以联合评分＞5.5分诊断颈部转移性淋巴结,灵敏度为93.6％、特异度为82.9％.结论 联合常规超声及超声造影评分法,可从半定量角度鉴别诊断颈部转移性淋巴结.“,”Objective To evaluate the diagnostic value of scoring method of combined conventional and contrast enhanced ultrasonography in the diagnosis of cervical metastatic lymph nodes.Methods Eight-two patients with 82 cervical lymph nodes were enrolled in the group.The scores on the conventional ultrasound were calculated from four aspects:the thickness of the the lymph nodes,the ratio of the long axis and the short axis of lymph node,the existence of lymph node hilus and the uniformity of lymph node.The scores on the contrast-enhanced ultrasound (CEUS)were calculated from the following aspects:the position of the enhancement in the arterial phase,the CEUS perfusion patterns and the intensity and uniformity of contrast enhancement in lymph nodes.Each feature was scored 1 point.For each lymph node,the combined scores was 0 to 8 points.Results Of the 82 enlarged lymph nodes,Forty-seven cervical metastatic lymph nodes and 35 reactive hyperplastic lymph node were analyzed.The scoring method that combination of conventional and contrast enhanced ultrasonography is the most valuable with 5.5 as the optimal diagnostic points.And the sensitivity and the specificity were 93.6％ and 82.9％ respectively.Conclusions The scoring method that combined conventional and contrast-enhanced ultrasonography was a semi-quantitative method and will be usefully in the differential diagnosis of cervical metastatic and reactive hyperplastic lymph node.