CAJ | 학술논문

目的：探讨超声在肺癌锁骨上淋巴结转移诊断中的准确性。方法运用随机抽样的方法选取2013年1月至2014年9月广安市人民医院超声科收治的190例确诊为肺癌的患者,其中颈部超声检查发现锁骨上淋巴结肿大67例,依据超声诊断结果将这些患者分为典型恶性转移淋巴结(A 组)和非典型转移淋巴结(B 组)两组,采用 S2000彩超显像仪和飞凡彩超显像仪对其锁骨上淋巴结进行常规检测,同时对患者进行超声引导下细针穿刺细胞学检查(FNAC),然后对两组患者的腺癌发生情况、FNAC 结果等进行统计分析。结果67例患者中,A 组患者42例,B 组患者25例；A 组患者的腺癌发生率显著高于 B 组(57.1% vs 12.0%,P <0.05),FNAC 阴性率显著低于 B 组(2.4% vs 40.0%,P <0.05),但两组患者的鳞癌、小细胞癌、未分化、结核性淋巴结肿大、炎性淋巴结肿大、恶性淋巴瘤发生率之间的差异均无统计学意义(P 值均>0.05)；彩色多普勒血流显像检测、FNAC 结果下超声在肺癌锁骨上淋巴结转移诊断中的准确性均较高。结论超声在肺癌锁骨上淋巴结转移尤其是腺癌诊断中的准确性较高,可用于常规筛查。
목적：탐토초성재폐암쇄골상림파결전이진단중적준학성。방법운용수궤추양적방법선취2013년1월지2014년9월엄안시인민의원초성과수치적190례학진위폐암적환자,기중경부초성검사발현쇄골상림파결종대67례,의거초성진단결과장저사환자분위전형악성전이림파결(A 조)화비전형전이림파결(B 조)량조,채용 S2000채초현상의화비범채초현상의대기쇄골상림파결진행상규검측,동시대환자진행초성인도하세침천자세포학검사(FNAC),연후대량조환자적선암발생정황、FNAC 결과등진행통계분석。결과67례환자중,A 조환자42례,B 조환자25례；A 조환자적선암발생솔현저고우 B 조(57.1% vs 12.0%,P <0.05),FNAC 음성솔현저저우 B 조(2.4% vs 40.0%,P <0.05),단량조환자적린암、소세포암、미분화、결핵성림파결종대、염성림파결종대、악성림파류발생솔지간적차이균무통계학의의(P 치균>0.05)；채색다보륵혈류현상검측、FNAC 결과하초성재폐암쇄골상림파결전이진단중적준학성균교고。결론초성재폐암쇄골상림파결전이우기시선암진단중적준학성교고,가용우상규사사。
Objective To investigate the accuracy of ultrasound in the diagnosis of supraclavicular lymph node metastasis of lung cancer.Methods 190 cases of patients diagnosed with lung cancer in Department of Ultrasound of People′s Hospital of Guang′an City from January 2013 to September 2014 were selected by random sampling method,in whom the neck ultrasound examination revealed 67 cases of supraclavicular lymph nodes.These patients were divided into typical malignant lymph node group (group A)and atypical lymph node group (group B)based on ultrasound diagnosis results.The supraclavicular lymph nodes were detected by ultrasound imaging device and ultrasound-guided fine needle aspiration cytology (FNAC ),and then the occurrence rate of adenocarcinoma and FNAC result of the two groups were statistically analyzed.Results Among the 67 cases of patients,group A had 42 cases,group B had 25 cases.The incidence of adenocarcinoma in group A was significantly higher than that in group B (57.1% vs 12.0%,P <0.05),the FNAC negative rate in group A was significantly lower than that in group B (2.4% vs 40.0%,P < 0.05 ),but there was no statistical significance in the incidence of squamous cell carcinoma,small cell carcinoma,undifferentiated carcinoma,tuberculous lymphadenopathy,inflammatory lymph nodes,lymphoma between the two groups (all P >0.05).The ultrasound results of color doppler flow imaging and FNAC in the diagnosis of supraclavicular lymph node metastasis of lung cancer had higher accuracy.Conclusions Ultrasound has higher accuracy in the diagnosis of supraclavicular lymph node metastasis of lung cancer,so can be used as routine screening.