| 超声检查联合血清学检测对甲状腺乳头状癌侵袭性评估的研究 |
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| 引用本文： | 于福盈,王春光,辛旺,岳玉杰,周瑾瑾,孙文奎,王玉玲.超声检查联合血清学检测对甲状腺乳头状癌侵袭性评估的研究[J].医学影像学杂志,2019(2):218-221. |
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| 作者姓名： | 于福盈 王春光 辛旺 岳玉杰 周瑾瑾 孙文奎 王玉玲 |
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| 作者单位： | 潍坊医学院医学影像学系;山东省潍坊市人民医院超声科;山东省潍坊市人民医院小儿外科 |
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| 基金项目： | 山东省潍坊市科技发展计划项目(编号:2017YX006) |
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| 摘 要： | 目的探讨超声检查联合血清学检测对甲状腺乳头状癌(papillay thyroid carcinoma, PTC)侵袭性评估的价值。方法对355例病理确诊为甲状腺乳头状癌的患者分为有淋巴结转移组及无淋巴结转移组,将两组患者的相关超声特征和血清学检测结果进行相关性分析。结果 1)355例患者术后病理中有颈部淋巴结转移者134例,无淋巴结转移者221例;2)单因素分析显示甲状腺乳头状癌≥1.5cm、多发病灶、结节内微钙化灶发生颈部淋巴结转移增多(P<0.05),以结节内微钙化灶预测更有价值;3)单因素分析显示TSH、TG、TgAb、TPOAb中,TSH、TG水平升高对预测淋巴结转移有较高价值(P<0.05)。结论超声指标中结节大小、结节数目和结节内微钙化灶与甲状腺乳头状癌侵袭性具有一定的相关性;血清学检测中,TSH、TG对甲状腺乳头状癌的颈部淋巴结转移有一定的预测价值。超声指标联合血清TSH、TG检测在甲状腺乳头状癌颈部淋巴结转移及结节的侵袭性预测中有重要的临床价值。
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| 关 键 词： | 甲状腺乳头状癌 侵袭性 超声检查 血清学检测 |
Study on the invasiveness of Papillary thyroid carcinoma by ultrasonography combined with serologic examination |
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| YU Fuying,WANG Chunguang,XIN Wang,YUE Yujie,ZHOU Jinjin,SUN Wenkui,WANG Yuling.Study on the invasiveness of Papillary thyroid carcinoma by ultrasonography combined with serologic examination[J].Journal of Medical Imaging,2019(2):218-221. |
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| Authors: | YU Fuying WANG Chunguang XIN Wang YUE Yujie ZHOU Jinjin SUN Wenkui WANG Yuling |
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| Institution: | (Department of Medical Imaging,Weifang Medical University,Weifang 261053,P.R China;Department of Ultrasonic Diagnosis,Weifang People’s Hospital,Weifang 261041,P.R China;Department of Pediatric Surgery,Weifang People’s Hospital,Weifang 261041,P.R China) |
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| Abstract: | YU Fuying;WANG Chunguang;XIN Wang;YUE Yujie;ZHOU Jinjin;SUN Wenkui;WANG Yuling(Department of Medical Imaging,Weifang Medical University,Weifang 261053,P.R China;Department of Ultrasonic Diagnosis,Weifang People’s Hospital,Weifang 261041,P.R China;Department of Pediatric Surgery,Weifang People’s Hospital,Weifang 261041,P.R China) |
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| Keywords: | Papillary thyroid carcinoma Invasiveness Ultrasonography Serologic examination |
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