摘要
目的:观察彩色多普勒超声检查影像学特征诊断甲状腺乳头状癌(PTC)颈部淋巴结转移的价值。方法:回顾性分析2018年1月至2022年12月该院收治的107例PTC患者的临床资料,107例PTC患者均行病理学检查、彩色多普勒超声检查,统计107例PTC患者颈部淋巴结转移情况的病理学检查结果,依据是否淋巴结转移将其分为转移组和非转移组,比较两组彩色多普勒超声检查影像学特征;采用多因素Logistic回归分析PTC患者颈部淋巴结转移的危险因素;采用Kappa一致性检验分析彩色多普勒超声检查影像学特征诊断结果与病理学检查结果的一致性。结果:病理学检查结果显示,107例PTC患者颈部淋巴结转移56例;转移组肿瘤边界不清晰、最大结节直径>10 mm、多发结节、内部微钙化、侵犯被膜等影像学特征占比均高于非转移组,差异有统计学意义(P<0.05);Logistic回归分析结果显示,最大结节直径>10 mm、内部微钙化、侵犯被膜等影像学特征均为PTC患者颈部淋巴结转移的危险因素(OR>1,P<0.05);Kappa一致性检验显示,最大结节直径>10 mm、内部微钙化、侵犯被膜三者联合诊断PTC患者颈部淋巴结转移结果与病理学检查结果的一致性(Kappa=0.524,P<0.05)高于三者单项诊断(Kappa=0.286、0.456、0.247,P<0.05)。结论:彩色多普勒超声检查影像学特征中,最大结节直径>10 mm、内部微钙化、侵犯被膜三者联合诊断PTC患者颈部淋巴结转移的价值高于三者单项诊断。
Objective:To observe value of color Doppler ultrasonography imaging features in diagnosis of cervical lymph node metastasis of papillary thyroid carcinoma(PTC).Methods:The clinical data of 107 PTC patients admitted to the hospital from January 2018 to December 2022 were retrospectively analyzed.All 107 patients with PTC underwent pathological examination and color Doppler ultrasonography.The pathological examination results of cervical lymph node metastasis in the 107 PTC patients were observed.According to whether lymph node metastasis occurred,they were divided into metastasis group and non-metastasis group.The imaging features of color Doppler ultrasonography were compared between the two groups.Multivariate Logistic regression analysis was used to analyze the risk factors of cervical lymph node metastasis in the PTC patients.Kappa consistency test was used to analyze the consistency between the diagnostic results of color Doppler ultrasonography imaging features and those of pathological examination.Results:The pathological examination showed that there were 56 cases of cervical lymph node metastasis in the 107 PTC patients.The proportion of imaging features such as unclear tumor boundary,maximum nodule diameter>10 mm,multiple nodules,internal microcalcification,and capsular invasion in the metastatic group were higher than those in the non-metastatic group,and the differences were statistically significant(P<0.05).Logistic regression analysis showed that the imaging features such as maximum nodule diameter>10 mm,internal microcalcification,and capsule invasion were risk factors for cervical lymph node metastasis in the PTC patients(OR>1,P<0.05).Kappa consistency test showed that the consistency between the combined diagnosis of maximum nodule diameter>10 mm,internal microcalcification,and capsule invasion in the diagnosis of cervical lymph node metastasis in the PTC patients and the pathological diagnosis(Kappa=0.524,P<0.05)was higher than that of the three single diagnosis(Kappa=0.286,0.456,0.247,P<0.05).Conclusions:Among the imaging features of color Doppler ultrasonography,the value of combined diagnosis of maximum nodule diameter>10 mm,internal microcalcification and invasion of capsule in cervical lymph node metastasis of the PTC patients is higher than that of single diagnosis of the three.
作者
刘思雨
郭卫红
刘建
黄晓云
毋宁
LIU Siyu;GUO Weihong;LIU Jian;HUANG Xiaoyun;WU Ning(Department of Ultrasound of Jiaozuo Second People’s Hospital,Jiaozuo 454000 Henan,China)
出处
《中国民康医学》
2024年第22期120-122,129,共4页
Medical Journal of Chinese People’s Health
关键词
甲状腺乳头状癌
淋巴结转移
彩色多普勒超声
影像学特征
诊断
Papillary thyroid carcinoma
Lymph node metastasis
Color Doppler ultrasonography
Imaging feature
Diagnosis
