甲狀腺癌早期頸轉移前實施彩超在疾病診斷中的臨床效果

黃聰聰

[摘要] 目的 探討甲狀腺癌早期頸轉移前實施彩超在疾病診斷中的效果。 方法 選取2019年1月至2020年3月我院腫瘤科收治的甲狀腺癌早期頸轉移患者60例作為研究對象，全部患者在手術治療前均接受彩超檢查，分析彩超在甲狀腺癌早期頸轉移中的診斷效果。 結果 本組60例患者接受術前彩超檢查后，58例患者得到準確診斷，確診率為96.67%;本組患者共包括63個惡性結節，其中甲狀腺乳頭狀癌49個，甲狀腺未分化癌5個，甲狀腺濾泡狀癌7個，甲狀腺髓樣癌2個;58例確診患者中頸部陽性率高于上頸部、氣管旁與下頸部陽性率，差異有統計學意義（P<0.05）;Ⅲ區域陽性率高于Ⅳ區域、Ⅱ區域與Ⅵ區域陽性率，差異有統計學意義（P<0.05）。結論 甲狀腺癌早期頸轉移前實施彩超檢查可使甲狀腺癌早期頸轉移得到有效診斷，為疾病的治療提供參考。

[關鍵詞] 甲狀腺癌;早期頸轉移;彩色多普勒超聲;疾病診斷;陽性率

[中圖分類號] R445.1;R736.1? ? ? ? ? [文獻標識碼] B? ? ? ? ? [文章編號] 1673-9701（2021）21-0093-03

Clinical effect of color ultrasonography before early cervical metastasis of thyroid carcinoma in disease diagnosis

HUANG Congcong

Department of Functional Examination，Beijing Aerospace General Hospital，Beijing? ?100076，China

[Abstract] Objective To investigate the effect of color ultrasonography before early cervical metastasis of thyroid carcinoma in disease diagnosis. Methods A total of 60 patients with early cervical metastasis of thyroid carcinoma who were admitted to the Department of Oncology in our hospital from January 2019 to March 2020 were selected as the research subjects. All patients were treated with color ultrasound examination before surgical treatment to analyze the diagnostic effect of color ultrasonography？in early cervical metastasis of thyroid carcinoma. Results In this group， after 60 patients were treated with preoperative color ultrasound examination， 58 patients were accurately diagnosed， with a diagnosis rate of 96.67%. In this group， 63 malignant nodules were observed， including 49 papillary thyroid carcinomas， 5 undifferentiated thyroid carcinomas， 7 follicular thyroid carcinomas， and 2 medullary thyroid carcinomas. The positive rate of middle neck in 58 patients was higher than that of upper neck， paratracheal and lower neck， and the differences were statistically significant （P<0.05）. The positive rate in Ⅲ area was higher than that in Ⅳ area， Ⅱ area and Ⅵ area， and the differences were statistically significant （P<0.05）. Conclusion Color ultrasonography before early cervical metastasis of thyroid carcinoma can effectively diagnose early cervical metastasis of thyroid carcinoma and provide reference for the treatment of the disease.

[Key words] Thyroid carcinoma; Early cervical metastasis; Color doppler ultrasound; Disease diagnosis; Positive rate

甲狀腺癌屬于頭頸部惡性腫瘤，其在臨床上具有較高發病率，占機體惡性腫瘤的1%～2%，且相較于男性，女性具有更高的發病率，男女比例1∶1.5[1]，其會對患者機體健康產生嚴重危害。有研究報道稱，為改善患者疾病預后，就需要對疾病進行早期診治[1]。甲狀腺癌具有復雜分型，同時不同分型的腫瘤具有不同的病理生理發展規律，部分腫瘤不具有明顯的臨床癥狀，且生長速度十分緩慢，而部分腫瘤的生長速度較快，同時可對周圍組織造成浸潤[2]。甲狀腺癌惡性程度通常較低，但當甲狀腺癌與頸部位置距離較近時，容易發生甲狀腺癌頸部轉移。目前臨床對甲狀腺癌早期頸轉移進行診斷時，應用的方法主要為頸部觸診，但該檢查方式具有較低的臨床確診率[3]。有研究報道，對甲狀腺癌早期頸轉移實施彩色多普勒超聲檢查，可使甲狀腺癌早期頸轉移的位置、大小以及區域均得到明確，提升臨床確診率[4]。本研究選取甲狀腺癌早期頸轉移患者60例，旨在探討甲狀腺癌早期頸轉移前實施彩超在疾病診斷中的效果，現報道如下。