颈部第VI组淋巴结在桥本甲状腺炎和甲状腺乳头状癌的超声诊断价值

目的:探究颈部第VI组淋巴结对桥本甲状腺炎和甲状腺乳头状癌的超声诊断价值.方法:分析2014年1月~2015年12月在我院接受甲状腺检查的6508例住院病例的临床资料,观察组(82例)为甲状腺乳头状癌患者,对照组(654例)为桥本甲状腺炎的患者.结果:两组患者超声检查下均显示低回声水平,两组患者在微钙化及血供程度上差异具有统计学意义,而在形态、边缘、回声水平差异均无统计学意义;观察组患者颈VI组淋巴结短径明显大于对照组,差异具有统计学意义.颈VI组淋巴结超声检查诊断甲状腺乳头癌的灵敏度为90.24%(74/82),特异度为79.97%(523/654),准确度为81.11%(597/736).结论:彩色多普勒超声检查颈部第VI组淋巴结对甲状腺乳头状癌与桥本甲状腺炎患者具有一定的鉴别诊断价值.

The diagnosis value of the cervical lymph nodes in VI groupfor Hashimoto's thyroiditis and thyroid papillary carcinomaby ultrasonography

Objective To investigate the diagnosis value of the cervical lymph nodes in VI group for Hashimoto's thyroidi-tis and thyroid papillary carcinoma by ultrasonography.Methods Analyzing6508 cases who accepted the thyroid examination in our hospital from January 2014 to December 2015,82 cases papillary thyroid cancer patients were the observation group,654 cases patients with Hashimoto's thyroiditis were the control group.Results Ultrasound showed low echo level in two groups, the difference of the micro calcification and blood supply was statistically significant in in two groups, while there were no signifi-cant differences in the shape, margin, echo level difference; The short diameter of VI lymph nodes in the observation group was significantly higher than that in the control group, and the difference was statistically significant. Diagnostic value of cervical VI group for papillary thyroid carcinoma by ultrasonography: sensitivity is 90.24% (74/82), the specificity is 79.97% (523/654), and the accuracy was 81.11% (597/736).Conclusions VI neck lymph node metastases with color Doppler ultrasound for papillary thyroid carcinoma and Hashimoto's thyroiditis have certain differential diagnosis.