甲状腺癌颈部淋巴结转移的超声特征与病理类型的相关性研究

【作者】 邱含飞； 丁自海；

【机构】 南方医科大学微创外科解剖学研究所；

【摘要】 目的分析和探讨甲状腺癌颈部转移性淋巴结的超声特征与病理类型相关性。方法选择从2012年12月至2014年12月在本院进行治疗的甲状腺癌淋巴结转移患者67例,用显微镜下检查转移性淋巴结的病理类型,根据病理类型分为甲、乙两组,甲组33例,为乳头状癌;乙组34例,为滤泡癌。结果在回声、边界、钙化、血流分型方面,甲组优于乙组,比较差异均具有统计学意义(P<0.05)。在纵横比、淋巴门、囊变坏死、血流分型方面,甲组优于乙组,比较差异均具有统计学意义(P<0.05)。结论甲状腺癌颈部转移性淋巴结的超声特征与病理类型具有较强的相关性,可作为判断预后和手术效果的依据。更多还原

【Abstract】 Objective to analyze and investigate the correlation between ultrasonographic features and pathological types of cervical metastatic lymph nodes in thyroid cancer.Methods from December 2012 to 2014 December in our hospital were treated thyroid cancer lymph node metastasis in67 cases and examined under a microscope for transfer of lymph node pathology type,according to the pathological types were divided into two groups(A and b).In group A,33 cases,papillary carcinoma;B group(34 cases),follicular carcinoma.Results in the echo,boundary,calcification,blood type,group A is better than B group,difference has statistical significance(P <0.05).In the aspect ratio,the hilar lymph,cystic degeneration and necrosis,blood flow,group A is better than B group,the difference has statistical significance(P < 0.05).Conclusion the sonographic features of cervical metastatic lymph nodes in patients with thyroid carcinoma have a strong correlation with the pathological type,which can be used as a basis for judging the prognosis and surgical effect.更多还原