摘要
目的:探讨常规超声和超声弹性成像在颈部淋巴结良恶性鉴别诊断中的应用价值。方法:选取我院自2016年6月至2018年6月间收治经病理学确诊的84例(104个结节)颈部淋巴结肿大患者作为研究对象,采用彩色多普勒超声对淋巴结血管模式进行分型;使用超声弹性成像技术分析病灶区及周围组织硬度差异,分析各指标对颈部淋巴结良恶性鉴别的临床意义,确诊结果以病理学检查结果为准,对比两种检查方法诊断的准确率。结果:病理学诊断结果显示104个颈部淋巴结中良性23个(22.12%),恶性淋巴结81个(77.88%);多普勒超声检查准确个数为80个,诊断准确率为76.92%;超声弹性成像检查诊断准确个数为85个,诊断准确率为81.73%,彩色多普勒超声检查和超声弹性成像检查准确率差异无统计学意义(P>0.05);与病理学诊断结果对比差异有统计学意义,P<0.05。结论:颈部淋巴结良恶性鉴别诊断中使用超声弹性成像技术准确率、敏感度略高,而彩色多普勒超声检查的特异性优势明显,因此在浅表淋巴结结良恶性鉴别诊断中可以互补应用。
Objective:To study the conventional ultrasound and ultrasound elastography in the benign and malignancy applied value in differential diagnosis of cervical lymph nodes.Methords:84 patients(104 nodules)with cervical lymphadenopathy diagnosed by pathology in our hospital from June 2016 to June 2018 were selected as the research objects.The lymph node vascular pattern was classified by color Doppler ultrasound.Ultrasound elastography was used to analyze the difference of hardness between the lesion area and surrounding tissues.The clinical significance of each index in differentiating benign from malignant cervical lymph nodes was analyzed.The diagnostic results were based on pathological findings,and the diagnostic accuracy of the two methods was compared.Results:Pathological diagnosis showed that 23(22.12%)of 104 cervical lymph nodes were benign and 81(77.88%)were malignant;80(76.92%)were diagnosed accurately by Doppler ultrasonography;85(81.73%)were diagnosed accurately by ultrasound elastography.There was no significant difference between the accuracy of color Doppler ultrasonography and ultrasound elastography.Significance(P>0.05);and pathological diagnosis results were significantly different,P<0.05.Conclusions:Ultrasound elastography has a slightly higher accuracy and sensitivity in the differential diagnosis of benign and malignant cervical lymph nodes,while color Doppler ultrasound has a distinct advantage in specificity,so it can be complementary in the differential diagnosis of superficial lymph nodes.
作者
蒋群
姜海娜
孙卓贵
JIANG Qun(The Second People's Hospital of Panzhihua,Sichuan Panzhihua 617000,China)
出处
《河北医学》
CAS
2019年第7期1183-1185,共3页
Hebei Medicine
基金
四川省卫生厅科学研究项目,(编号:1504731)
关键词
颈部淋巴结
常规超声
超声弹性成像
良恶性
鉴别诊断
Cervical lymph nodes
Conventional ultrasonic
Ultrasonic elasticity imaging
Benign and malignancy
The differential diagnosis
