CAJ | 학술논문

目的探讨增强螺旋CT诊断甲状腺癌颈部淋巴结转移的价值。方法回顾性分析40例经手术及病理诊断为甲状腺癌颈部淋巴结转移的CT表现，总结淋巴结大小、位置、形态，强化等特征。结果40例中36例诊断为淋巴结转移癌，其中转移淋巴结分布为在芋区34例，Ⅳ区36例，Ⅱ区8例，遇区18例，吁区1例、淋巴结大小平均8.7 mm。转移淋巴结不均匀强化32例、边界不清18例，钙化3例。结论增强螺旋CT可敏感的发现甲状腺癌的颈部淋巴结转移，对甲状腺癌的手术治疗提供有价值的帮助。
목적탐토증강라선CT진단갑상선암경부림파결전이적개치。방법회고성분석40례경수술급병리진단위갑상선암경부림파결전이적CT표현，총결림파결대소、위치、형태，강화등특정。결과40례중36례진단위림파결전이암，기중전이림파결분포위재우구34례，Ⅳ구36례，Ⅱ구8례，우구18례，우구1례、림파결대소평균8.7 mm。전이림파결불균균강화32례、변계불청18례，개화3례。결론증강라선CT가민감적발현갑상선암적경부림파결전이，대갑상선암적수술치료제공유개치적방조。
Objective To study the valuation of enhanced spiral CT in the diagnosis of cervical lymph node metastasis of thyroid cancer. Methods Enhance image of spiral CT of metastatic lymph node of thyroid cancer proved by surgery and pathology in 40 Patients were reviewed, and the characteristic of size, location, form, enhance condition of metastatic lymph node was summarized. Results There were 36 cases diagnosed with cervical lymph node metastasis in the 40 cases of thyroid cancer, and there were 34 cases diagnosed with cervical lymph node metastasis in regionⅢ, 36 cases in regionⅣ, 8 cases in regionII, 18 cases in regionⅥ, one case in regionⅥ. The average size of metastatic lymph node was 8.7mm. There were 32 cases seen with heterogeneous enhancement, 18 cases with unclear edge, 3 cases with calcification. Conclusion Enhanced spiral CT can sensitively find cervical lymph node metastasis of thyroid cancer, which can provide the valuable help for thyroid cancer surgical treatment.