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目的探讨彩超在分化型甲状腺癌颈淋巴结转移临床诊断中的应用效果。方法选取我院2013年7月~2016年5月期间收治的64例分化型甲状腺肿瘤患者为研究对象,行彩色多普勒超声检查,行颈淋巴结改良型清扫术,以病理检查结果为对照,评价彩超检查的诊断效能,分析转移淋巴结的分布情况。结果在64例分化型甲状腺癌患者当中,经术后病理检查,转移淋巴结77个;经彩超检查,转移颈淋巴结73个,诊断符合率为94.81%,彩超检查与术后病理诊断的结果无显著差异(P>0.05),充分说明彩超具有更好的诊断效能。转移淋巴结主要分布于Ⅲ区。结论彩超对于分化型甲状腺癌颈淋巴结转移具有准确的诊断效果,能够为分化型甲状腺癌的临床治疗提供重要的参考。
Objective To investigate the application of color Doppler ultrasonography in the diagnosis of cervical lymph node metastasis of differentiated thyroid cancer. Methods Totally 64 patients with differentiated thyroid tumors admitted from July 2013 to May 2016 in our hospital were selected as study objects. Color Doppler ultrasonography and cervical lymph node dissection were performed. Pathological examination was used as control. Evaluate the diagnostic efficacy of color Doppler ultrasound and analyze the distribution of metastatic lymph nodes. Results Among the 64 patients with differentiated thyroid carcinoma, postoperative pathological examination showed that 77 lymph nodes were metastasized; 73 were metastatic cervical lymph nodes by color Doppler ultrasonography, the diagnostic coincidence rate was 94.81%. There was no significant difference between color Doppler ultrasonography and postoperative pathological diagnosis Differences (P> 0.05), fully explain the color Doppler ultrasound has a better diagnostic performance. Lymph node metastasis is mainly located in Ⅲ area. Conclusion Color Doppler ultrasonography has an accurate diagnostic value for cervical lymph node metastasis of differentiated thyroid carcinoma and can provide important reference for the clinical treatment of differentiated thyroid carcinoma.