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医学临床研究  2024, Vol. 41 Issue (7): 1054-1057    DOI: 10.3969/j.issn.1671-7171.2024.07.027
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高频超声联合超微血流成像技术在甲状腺乳头状癌颈部淋巴结转移中的诊断价值*
黄小平, 吴丽, 林少鹏, 段若男, 李开林
东莞东华医院,广东 东莞 523520
Diagnostic Value of High Frequency Ultrasound Combined with Ultrasonographic Microvascular Imaging in Diagnosis of Neck Lymph Node Metastasis in Papillary Thyroid Carcinoma
HUANG Xiaoping, WU Li, LIN Shaopeng, et al
Dongguan Tungwah Hospital,Dongguan Guangdong 523520
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摘要 【目的】探讨高频超声联合超微血流成像在甲状腺乳头状癌颈部淋巴结转移中的诊断价值。【方法】回顾性分析2020年1月至2023年6月在本院接受甲状腺乳头状癌切除术和颈部淋巴结清扫术治疗的60例患者的临床资料,术前均行高频超声、超微血流成像技术检查,比较高频超声联合超微血流成像检查与单纯高频超声及超微血流成像诊断转移性淋巴结的准确率。【结果】60例患者共计90个颈部淋巴结发生转移,65个淋巴结发生颈中央区转移,25个淋巴结发生颈侧区转移。高频超声和超微血流成像联合检查诊断颈部淋巴结转移的准确率显著高于高频超声检查和超微血流成像检查(P<0.05)。高频超声检查显示,44例甲状腺乳头状癌患者病灶内部或周边呈短棒状、点状血流信号,5例患者病灶内部呈分支状血流信号。超微血流成像技术检查显示,40例患者病灶内部或周边呈短棒状、点状血流信号,14例患者病灶内呈分支状血流信号。【结论】高频超声联合超微血流成像技术诊断甲状腺乳头状癌颈部淋巴结转移患者的价值高,值得临床借鉴。
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关键词 甲状腺肿瘤/影像诊断乳头状瘤/影像诊断淋巴转移超声检查    
Abstract:【Objective】To investigate the diagnostic value of high frequency ultrasound combined with ultrasonographic microvascular imaging in neck lymph node metastasis of papillary thyroid carcinoma. 【Methods】A retrospective analysis was performed on 60 patients with a total of 90 lymph nodes who underwent thyroid papillary carcinoma surgery and neck lymph node dissection in our hospital from January 2020 to June 2023. High-frequency ultrasound, Ultrasonographic microvascular imaging, and high-frequency ultrasound combined with Ultrasonographic microvascular imaging were performed before surgery to compare the accuracy of diagnosing metastatic lymph nodes.【Results】A total of 90 cervical lymph nodes were metastatic in 60 patients, 65 of which were in the central neck and 25 in the lateral neck.The accuracy of high-frequency ultrasound combined with Ultrasonographic microvascular imaging in diagnosing cervical lymph node metastasis was significantly higher than that of high-frequency ultrasound and Ultrasonographic microvascular imaging alone (P<0.05). High-frequency ultrasonography showed that 44 patients with thyroid papillary carcinoma had short rod-shaped and dot-shaped blood flow signals inside or around the lesions , and 5 patients had branch-shaped blood flow signals inside the lesions. Ultrasonographic microvascular imaging showed that short rod-shaped and dot-shaped blood flow signals inside or around the lesions were seen in 40 patients, and branch-shaped blood flow signals inside the lesions were seen in 14 patients. 【Conclusion】High frequency ultrasound combined with ultra-micro angiography is of high diagnostic value in neck lymph node metastasis of papillary thyroid carcinoma.
Key wordsThyroid Neoplasms/DG    Papilloma/DG    Lymphatic Metastasis    Ultrasonography
收稿日期: 2024-01-25     
中图分类号:  R736.1  
基金资助:* 东莞市社会发展科技项目(20211800901142)
引用本文:   
黄小平, 吴丽, 林少鹏, 段若男, 李开林. 高频超声联合超微血流成像技术在甲状腺乳头状癌颈部淋巴结转移中的诊断价值*[J]. 医学临床研究, 2024, 41(7): 1054-1057.
HUANG Xiaoping, WU Li, LIN Shaopeng, et al. Diagnostic Value of High Frequency Ultrasound Combined with Ultrasonographic Microvascular Imaging in Diagnosis of Neck Lymph Node Metastasis in Papillary Thyroid Carcinoma. JOURNAL OF CLINICAL RESEARCH, 2024, 41(7): 1054-1057.
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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2024.07.027     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2024/V41/I7/1054
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