浙江临床医学
浙江臨床醫學
절강림상의학
ZHEJIANG CLINICAL MEDICAL JOURNAL
2014年
10期
1525-1526,1531
,共3页
郑秋青%陈丽羽%时开元%金鑫焱%王立平%谢发君
鄭鞦青%陳麗羽%時開元%金鑫焱%王立平%謝髮君
정추청%진려우%시개원%금흠염%왕립평%사발군
超声检查%宫颈癌%淋巴转移%针吸细胞学
超聲檢查%宮頸癌%淋巴轉移%針吸細胞學
초성검사%궁경암%림파전이%침흡세포학
Ultrasonography%Cervical neoplasms%Lymphatic metastasis%Fine-needle aspiration cytology
目的：评价彩色多普勒超声（Color doppler ultrasonography，CDU）结合超声引导下针吸细胞学检查（Ultrasound guided fine needle aspiration cytology，US-FNAC）在宫颈癌治疗后患者腹股沟淋巴结复发转移中的诊断价值。方法对308例宫颈癌治疗后患者的580枚腹股沟淋巴结行CDU检查，记录其形态、内部回声、皮髓质结构、淋巴门结构及内部血流状况等超声图像特征，并将其诊断结果和US-FNAC的结果相对比，评价超声诊断宫颈癌腹股沟淋巴结复发转移的准确性。结果580枚淋巴结中566枚取材满意，78枚淋巴结为转移性淋巴结。转移性与非转移性腹股沟淋巴结的形态、内部回声、皮髓质结构、淋巴门结构及内部血流状况等超声表现差异均有统计学意义（P<0.05），表现为类圆形或融合状、内部均匀低回声、皮髓质结构不清、淋巴门消失或偏心性、血流丰富的淋巴结具有复发转移倾向，其诊断准确率分别为90.8%、82.3%、80.6%、58.7%、67.0%。结论宫颈癌治疗后患者的复发转移性腹股沟淋巴结在形态、内部回声、皮髓质结构、淋巴门结构及内部血流等方面均有显著的特征性，US-FNAC可进一步对腹股沟淋巴结的病理性质作出判断，提高诊断的准确性。
目的：評價綵色多普勒超聲（Color doppler ultrasonography，CDU）結閤超聲引導下針吸細胞學檢查（Ultrasound guided fine needle aspiration cytology，US-FNAC）在宮頸癌治療後患者腹股溝淋巴結複髮轉移中的診斷價值。方法對308例宮頸癌治療後患者的580枚腹股溝淋巴結行CDU檢查，記錄其形態、內部迴聲、皮髓質結構、淋巴門結構及內部血流狀況等超聲圖像特徵，併將其診斷結果和US-FNAC的結果相對比，評價超聲診斷宮頸癌腹股溝淋巴結複髮轉移的準確性。結果580枚淋巴結中566枚取材滿意，78枚淋巴結為轉移性淋巴結。轉移性與非轉移性腹股溝淋巴結的形態、內部迴聲、皮髓質結構、淋巴門結構及內部血流狀況等超聲錶現差異均有統計學意義（P<0.05），錶現為類圓形或融閤狀、內部均勻低迴聲、皮髓質結構不清、淋巴門消失或偏心性、血流豐富的淋巴結具有複髮轉移傾嚮，其診斷準確率分彆為90.8%、82.3%、80.6%、58.7%、67.0%。結論宮頸癌治療後患者的複髮轉移性腹股溝淋巴結在形態、內部迴聲、皮髓質結構、淋巴門結構及內部血流等方麵均有顯著的特徵性，US-FNAC可進一步對腹股溝淋巴結的病理性質作齣判斷，提高診斷的準確性。
목적：평개채색다보륵초성（Color doppler ultrasonography，CDU）결합초성인도하침흡세포학검사（Ultrasound guided fine needle aspiration cytology，US-FNAC）재궁경암치료후환자복고구림파결복발전이중적진단개치。방법대308례궁경암치료후환자적580매복고구림파결행CDU검사，기록기형태、내부회성、피수질결구、림파문결구급내부혈류상황등초성도상특정，병장기진단결과화US-FNAC적결과상대비，평개초성진단궁경암복고구림파결복발전이적준학성。결과580매림파결중566매취재만의，78매림파결위전이성림파결。전이성여비전이성복고구림파결적형태、내부회성、피수질결구、림파문결구급내부혈류상황등초성표현차이균유통계학의의（P<0.05），표현위류원형혹융합상、내부균균저회성、피수질결구불청、림파문소실혹편심성、혈류봉부적림파결구유복발전이경향，기진단준학솔분별위90.8%、82.3%、80.6%、58.7%、67.0%。결론궁경암치료후환자적복발전이성복고구림파결재형태、내부회성、피수질결구、림파문결구급내부혈류등방면균유현저적특정성，US-FNAC가진일보대복고구림파결적병이성질작출판단，제고진단적준학성。
Objective To evaluate the ultrasonography(US)combined with Ultrasound guided fine needle aspiration cytology(US-FNAC)in the diagnosis of inguinal lymph node metastasis in cervical carcinoma after initial treatment. Methods 580 inguinal lymph nodes from 308 patients with cervical carcinoma were studied by US and US-FNAC after initial treatment,and the ultrasonic feature was analyzed. Results 566 lymph nodes were successful cytology from total of 580 cases,and 78 lymph nodes were pathological metastatic.There were significant differences in the shape,internal echoes,lymph hilum,corticomedullary structure and flow pattern between malignant and benign inguinal lymph nodes(P<0.05). The round of fused shape,internal hypoehcocity,vague corticomedullary structure,hilum deformation and abundant flow were mainly observed in metastatic lymph nodes,and the diagnostic accuracy for metastatic lymph nodes were 90.8%、82.3%、80.6%、58.7%、67.0%,respectively. Conclusion US combined with US-FNAC is useful diagnosis of inguinal lymph node metastasis in cervical carcinoma.
