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1、术前超声检查评估甲状腺微小乳头状癌颈部淋巴结转移的临床价值蒋耀沐(商丘市第一人民医院彩超室河南商丘476100)［摘要］目的：探讨术前超声检查评估甲状腺微小乳头状癌颈部淋巴结转移的临床价值。方法：选择于2012年7月-2014年2月接受超声检查并行手术治疗的甲状腺微小乳头状癌患者60例作为研宄对象，将术后病理检查结果作为诊断标准，统计术前超声检查评估颈侧组淋巴结、颈部淋巴结、屮央组淋巴结转移情况的特异度和敏感度。结果：术前超声检查显示颈侧组淋巴结有无转移的特异度为98.1%(51/52),敏感度为75.0%(6/8)，阳性预测值为85.7%(6/7),阴性预测值为96.2
2、%(51/53)；术前超声检查显示颈部淋巴结有无转移的特异度为94.1%(32/34),敏感度为38.5%(10/26),阳性预测值为83.3%(10/12)，阴性预测值为66.7%(32/48)；术前超声检查显示屮央组淋巴结有无转移的特异度为97.3%(36/37),敏感度为30.4%(7/23),阳性预测值为87.5%(7/8),阴性预测值为69.2%(36/52)。结论：术前超声检查评估甲状腺微小乳尖状癌颈侧组淋巴结有无转移的特异度和敏感度相对较高，评估甲状腺微小乳头状癌屮央组淋巴结有无转移的敏感度相对较低，故常规进行屮央组淋巴结的清扫十分有必要。关键词：甲状腺微小
3、乳头状癌；术前超声；颈部淋巴结转移；临床价值ClinicalvalueofpreoperativeultrasonographyinevaluationofcervicallymphnodemetastasisinpapillarythyroidcarcinomaJiangYaomu(ShangqiuFirstPeople'sHospital,ShangqiuHenan476100)AbstractObjective:Toinvestigatetheclinicalvalueofpreoperativeultrasonographyintheevaluationofcer
4、vicallymphnodemetastasisinpapillarythyroidcarcinoma.Methods:60patientswithpapillarythyroidcarcinomawhounderwentultrasoundexaminationinFebruary-2014wereselectedastheresearchobject,andthepathologicalexaminationresultswereusedasthediagnosticcriteria,andthespecificityandsensitivityofthecervic
5、alsidegroup,thecervicallymphnodes,thecentralgrouplymphnodemetastasiswereevaluatedbystatisticalmethod.Results:thesensitivitywas85.7%(6/8),thesensitivitywas96.2%(6/7),thepositivepredictivevaluewas94.1%(51/53),thesensitivitywas83.3%(10/26),thepositivepredictivevaluewas66.7%(10/12),thesensiti
6、vitywas30.4%(7/23),andthenegativepredictivevaluewas69.2%(36/52),38.5%(32/48),respectively.Conclusion:preoperativeultrasoundexaminationofthyroidpapillarycarcinomaofthecervicallymphnodemetastasishasnospecificdegreeandsensitivity,theassessmentofthyroidpapillarycarcinomaofthecentrallymphnodem
7、etastasishasarelativelylowsensitivity,soitisnecessarytocarryouttheroutinecentralgrouplymphnodedissectionisnecessary.Keywords:thyroidpapillarycarcinoma;preoperativeultrasound;cervicallymphnodemetastasis;clinicalvalue甲状腺微小乳头状癌是常见的甲状腺癌症类型之•-，常常会伴随着颈部淋巴结的转移［1］，进而加重患者的病情
