CAJ | 학술논문

目的：研究鼻咽癌的CT表现及颈淋巴结转移的特点。方法收集2012年1月~2014年1月在浙江中医药大学附属温州中医院初治110例鼻咽癌患者，均经病理活检证实，所有患者均行头颈部增强CT扫描，观察患者颈淋巴结的转移情况，记录患者的CT特征图，分析患者CT特征表现与颈淋巴结转移的特点。结果110例鼻咽癌患者中，65例(59.1%)发生颈淋巴结转移。不同患者肿瘤大小、形态、周围侵犯及强化特点的颈淋巴结转移率比较，差异均有统计学意义(χ2=24.301、19.557、20.368、19.273，P<0.05)；不同肿瘤数目、钙化、坏死的颈淋巴结转移率比较，差异无统计学意义(χ2=0.365、1.058、0.964，P>0.05)。结论鼻咽癌患者年龄、肿瘤大小、形态、周围侵犯及强化特点与其颈淋巴结转移相关，本研究结果可为头颈部肿瘤的诊断和鉴别诊断提供重要的参考依据。
목적：연구비인암적CT표현급경림파결전이적특점。방법수집2012년1월~2014년1월재절강중의약대학부속온주중의원초치110례비인암환자，균경병리활검증실，소유환자균행두경부증강CT소묘，관찰환자경림파결적전이정황，기록환자적CT특정도，분석환자CT특정표현여경림파결전이적특점。결과110례비인암환자중，65례(59.1%)발생경림파결전이。불동환자종류대소、형태、주위침범급강화특점적경림파결전이솔비교，차이균유통계학의의(χ2=24.301、19.557、20.368、19.273，P<0.05)；불동종류수목、개화、배사적경림파결전이솔비교，차이무통계학의의(χ2=0.365、1.058、0.964，P>0.05)。결론비인암환자년령、종류대소、형태、주위침범급강화특점여기경림파결전이상관，본연구결과가위두경부종류적진단화감별진단제공중요적삼고의거。
Objective To study CT manifestation and characteristics of neck lymph node metastasis of nasopharyngeal carcinoma. Methods From January 2012 to January 2014 in Traditional Chinese Medicine Hospital of Wenzhou City Affiliated to Zhejiang Chinese Medical University, 110 patients with nasopharyngeal carcinoma treated at the first time were collected, all of the cases were confirmed by pathological biopsy. All patients were given head and neck enhanced CT scanning, the neck lymph node metastasis of patients were observed, CT features of patients with diagram were recorded, the characteristics of CT features and analysis transfer was analyzed. Results Among 110 cases of nasopha-ryngeal carcinoma patients, 65 cases (59.1%) were transfer. The transfer rates of different patients at tumor size, shape, the surrounding invasion and strengthen characteristic analysis were compared, the differences were statistically signifi-cant (χ2=24.301, 19.557, 24.301, 19.557, P<0.05);the transfer rates of different number, calcification, tumor necrosis were compared, the differences were not statistically significant (χ2=0.365, 0.365, 1.058, P> 0.05). Conclusion Age, tumor size, shape and surrounding invasion and strengthening characteristics of nasopharyngeal carcinoma patient are related with neck lymph node metastasis, and the results provides important reference basis for the diagnosis and dif-ferential diagnosis of head and neck cancer.