摘要
目的：探讨超声检查诊断颈淋巴结转移的准确性及对颈部隐匿性淋巴结转移的诊断价值。方法：应用双盲法对５５ 例（６１ 侧）行颈廓清术患者的术前触诊、超声检查及术后病理检查进行对比分析。结果：６１ 侧中，病理证实 ５２ 侧有淋巴结转移，触诊和超声检出分别为 ４０ 侧和 ４８ 侧，其敏感性、特异性及准确性分别为７６．９％ 和９２．３％ （ Ｐ ＜ ０．０５）、７７．８％ 和８８．９％ （ Ｐ ＞ ０．０５）及７７．０％ 和９１．８％ （ Ｐ ＜ ０．０５）。１２ 侧触诊假阴性（隐匿性转移）超声检出阳性６ 侧。结论：超声检查颈淋巴结转移的准确性优于触诊，并可检出约半数隐匿性转移淋巴结，超声可作为诊断颈淋巴结转移的常规检查项目。
Objective:To research the accuracy of ultrasonography in the diagnosis of cervical lymph node metastasis and the value of that of cervical lymph node occult metastasis.Method:Fifty five patients(61 sides)operated by neck dissection were double blindedly studied by preoperation palpation and ultrasonography comparing with postoperating pathological examination.Result:Fifty two sides were confirmed to be pathology lymph node metastasis from 61 sides.40 and 48 sides were checked out by palpation and ultrasonography,respectively. The sensitivity, specificity and accuracy of palpation and ultrasonography were 76.9 % and 92.3 % (P< 0.05 ), 77.8 % and 88.9 %(P> 0.05 ) and 77.0 % and 91.8 %(P< 0.05 ),respectively. Six sides were checked out by ultrasonography(occult metastasis) in 12 sides of palpation negative.Conclusion:The accuracy of ultrasonography was prior to that of palpation in examining cervical lymph node metastsis. Ultrasonography could check out about half occult metastasis and should be regarded as a routine examining items in diagnosing cervical lymph node metastasis.
出处
《临床耳鼻咽喉科杂志》
CSCD
1999年第8期352-353,共2页
Journal of Clinical Otorhinolaryngology
关键词
头颈部肿瘤
诊断
淋巴结转移瘤
Head and neck neoplasms Lymphatic metastasis Ultrasonography
