摘要
目的:探讨颈部第Ⅵ组淋巴结在桥本甲状腺炎超声鉴别诊断中的价值。方法:选取甲状腺弥漫性疾病患者188例,根据临床诊断分为桥本甲状腺炎和其他弥漫性病变2组,其中桥本甲状腺炎组98例,其他弥漫性病变组90例。采用二维超声和彩色多普勒超声检查所有患者的双侧甲状腺形态、回声均匀性及彩色血流特征,同时观察其颈部第Ⅵ组淋巴结是否显示。结果:98例桥本甲状腺炎患者中有76例颈部第Ⅵ组淋巴结显示,90例其他弥漫性病变患者中有12例颈部第Ⅵ组淋巴结显示,2组差异有统计学意义(P<0.05),其灵敏度、特异度和准确率分别为77.6%、86.7%和81.9%,阳性预测值和阴性预测值分别为86.4%和78.0%。桥本甲状腺炎组中有颈部第Ⅵ组淋巴结显示者明显多于其他甲状腺弥漫性病变组。结论:颈部第Ⅵ组淋巴结在桥本甲状腺炎的超声鉴别诊断中有一定价值,可辅助判断甲状腺弥漫性病变的性质。
Objective To study the value of the Ⅵ group neck lymph node in ultrasonic differential diagnosis of Hashimoto＇s thyroiditis.Methods One hundred and eighty-eight diffuse thyroid disease patients were categorized into Hashimoto＇s thyroiditis group（98 cases） and other diffuse thyroid diseases group（90 cases） in accordance with clinical diagnosis.Two-dimensional and color Doppler ultrasound were performed to examine the size,echo and color doppler characteristics of bilateral lobes of thyroid and examined whether the Ⅵ group neck lymph node was observed.Results Ⅵ group neck lymph node could be observed in 76 out of 98 Hashimoto＇s thyroiditis patients,while it could be observed in only 12 out of 90 patients with other diffuse thyroid diseases.The difference between the two groups was statistically significant（P=0.000,P0.05）.The sensitivity,specificity and accuracy rates were 77.6%,86.7% and 81.9%,respectively.The positive predictive value and negative predictive value were 86.4% and 78.0%,respectively.Ⅵ group neck lymph node could be observed in Hashimoto＇s thyroiditis much more often than other diffuse thyroid diseases.Conclusions Ⅵ group neck lymph node is of value in ultrasonic differential diagnosis of Hashimoto＇s thyroiditis,and is helpful for judging the nature of diffuse thyroid disease.
出处
《诊断学理论与实践》
2011年第5期459-462,共4页
Journal of Diagnostics Concepts & Practice
关键词
桥本甲状腺炎
颈部第Ⅵ组淋巴结
超声
鉴别诊断
Hashimoto＇s thyroiditis
The Ⅵ group neck lymph node
Ultrasound
Differential diagnosis
