CAJ | 학술논문

目的：探讨超声对甲状腺癌颈部淋巴结转移规律的诊断价值。方法根据1991年美国头颈外科基金学院颈部淋巴结分组方法及2002年美国癌症联合委员会（AJCC）的Ⅶ区法对颈部可疑淋巴结进行分区，回顾性分析274例甲状腺癌颈部淋巴结转移的超声诊断符合率。结果超声对转移淋巴结的诊断符合率为82.8%，敏感度为57.8%，特异度为93.4%。超声诊断颈部Ⅱ、Ⅲ、Ⅳ、Ⅴ、Ⅵ区的敏感度及特异度分别为62.5%、98.3%；41.2%、96.4%；53.1%、95.1%；50.0%、97.2%和34.1%、89.7%。结论超声对甲状腺癌颈部淋巴结转移的诊断符合率较高，术前进行超声甲状腺癌颈部淋巴结分区对临床手术有一定的指导意义。
목적：탐토초성대갑상선암경부림파결전이규률적진단개치。방법근거1991년미국두경외과기금학원경부림파결분조방법급2002년미국암증연합위원회（AJCC）적Ⅶ구법대경부가의림파결진행분구，회고성분석274례갑상선암경부림파결전이적초성진단부합솔。결과초성대전이림파결적진단부합솔위82.8%，민감도위57.8%，특이도위93.4%。초성진단경부Ⅱ、Ⅲ、Ⅳ、Ⅴ、Ⅵ구적민감도급특이도분별위62.5%、98.3%；41.2%、96.4%；53.1%、95.1%；50.0%、97.2%화34.1%、89.7%。결론초성대갑상선암경부림파결전이적진단부합솔교고，술전진행초성갑상선암경부림파결분구대림상수술유일정적지도의의。
Objective To explore the diagnostic value of ultrasonography in thyroid cancer lymph node metastasis in the neck.Methods According to the American Institute of Head and Neck Surgery Foudation lymph node grouping method in 1991 and the American Joint Committee on cancer(AJCC)Ⅶ Zone Act in 2002, the zone action of suspicious lymph nodes in the neck were detected and the ultrasound diagnosis coincidence in thyroid cancer neck lymph node metastasis of 274 cases were analyzed.Results The ultrasound diagnosis coincidence of lymph node metastasis was 82.8%, the sensitivity was 57.8%and the speciifcity was 93.4%. The sensitivity and speciifcity of ultrasonography neckⅡ,Ⅲ,Ⅳ,Ⅴ,Ⅵ district were 62.5%, 98.3%; 41.2%, 96.4%; 53.1%, 95.1%; 50.0%, 97.2% and 34.1%, 89.7% respectively.Conclusions There is high ultrasound diagnosis coincidence of thyroid cancer neck lymph node metastasis and the preoperative ultrasoud thyroid cancer lymph node zone action provide the guidance for clinical surgery.