摘要
目的探讨超声应用于单灶型甲状腺微小癌中效果,并分析单灶型甲状腺微小癌与颈部淋巴结转移间相关性。方法回顾性分析我院80例(80个结节)均经手术病理证实为单灶型甲状腺微小癌患者临床资料,所有患者均采用超声予进行检查,根据患者是否存在淋巴结转移分组为研究组(颈部淋巴结转移,40例)与对照组(颈部淋巴结未转移,40例)。记录所有患者超声表现情况,并与术后病理结果相比较,同时找出两者间相关性。结果经分析发现,癌结节形态(χ~2=0.95,P=0.32)、癌结节内部回声(χ~2=0.72,P=0.39)、癌结节边界(χ~2=1.26,P=0.25)、癌结节后方回声(χ~2=0.73,P=0.39)、癌结节周边回声(χ~2=0.95,P=0.32)、癌结节位置(χ~2=0.44,P=0.93)与单灶型甲状腺微小癌颈部淋巴结转移无关,P<0.05;研究组与对照组患者癌结节大小(χ~2=25.08,P=0.00)、癌结节与被膜间关系(χ~2=25.84,P=0.00)、癌结节内钙化类型(χ2=19.52,P=0.00)相比,差异显著具有统计学意义,P<0.05;经多Logistic回归多因素分析发现,颈部淋巴结转移与癌结节大小(OR=5.721,P=0.00)、癌结节与甲状腺被膜关系(OR=4.961,P=0.00)、癌结节内钙化类型(OR=4.689,P=0.00)有关,P<0.05。结论采用超声用于临床诊断单灶型甲状腺微小癌可通过观察患者临床超声表现来判断其是否存在颈部淋巴结转移。
Objective To investigate the effect of ultrasonography on microcarcinoma of thyroid in single foci, and to analyze the correlation between microcarcinoma of thyroid and cervical lymph node metastasis. Methods The clinical data of 80 cases （ 80 nodules） in our hospital were retrospectively analyzed. All the patients were examined by ultrasonography. The patients were divided into two groups according to the presence of lymph node metastasis, experimertal group （ lymph node metastasis, 40 ca- ses） and the control group （cervical lymph node metastasis, 40 cases）. The sonographic findings were recorded and compared with postoperative pathologic findings. The correlation was also found. Results The analysis showed that the nodules form （χ^2= 0.95, P = 0.32） , cancer nodules internal echo （ χ^2 = 0.72, P = 0.39）, cancer nodules boundary （ χ^2 = 1.26, P = 0.25 ）, rear echo nodules （ χ^2 = 0.73, P = 0.39） , cancer nodules surrounding echo （ χ^2=0.95, P = 0.32） , cancer nodules position （ χ^2 = 0.44, P = 0.93 ）, and single lesion type of thyroid microcarcinoma of cervical lymph node metastasis, P 〈 0.05, patients in study group and control group cancer nodules （ χ^2 = 25.08, P = 0.00 ）, the relationship between cancer nodules and films （ χ^2 = 25.84, P = 0. 00）, calcification type cancer nodules （χ^2 = 19.52, P = 0. 00） were significant difference statistical significance, P 〈 0. 05 ; through the analysis of multiple regression Logistic, we found that cervical lymph node metastasis and cancer nodules （ OR =5. 721, P =0.00）, cancer nodules and thyroid capsule （ OR =4. 961, P =0.00）, the relationship between cancer nod- ules and calcification type were correlated （ OR = 4. 689, P = 0. 00） on, P 〈 0. 05. Conclusion Ultrasonography can be used to diagnose small thyroid microcarcinoma of the foci by judging whether there is cervical lymph node metastasis by observing clini- cal ultrasonography, which can be helpful for clinical diagnosis and treatment, and provide reference for clinical treatment plan and prognosis judgment.
出处
《医学影像学杂志》
2017年第3期436-440,共5页
Journal of Medical Imaging
基金
浙江省桐庐县科技项目(编号:2016C010)
关键词
超声检查
单灶型甲状腺微小癌
颈部淋巴结转移
相关性
Ultrasonography
Microcarcinoma of thyroid in single foci
Cervical lymph node metastasis
Correlation
