中国医学创新2016，Vol.13Issue(35)：35-38,4.DOI:10.3969/j.issn.1674-4985.2016.35.009
超声造影诊断颈部浅表恶性肿大淋巴结的临床研究
Clinical Research of Contrast-enhanced Ultrasonography in Diagnosis of Superficial Cervical Malignant Lymphadenopathy
摘要
Abstract
Objective:To investigate the diagnostic value of contrast-enhanced ultrasonography(CEUS) in superficial cervical malignant lymphadenopathy.Method:Forty-eight patients with cervical lymphadenopathy were enrolled into study from September 2014 to December 2015.Patients were detected by conventional,contrast-enhanced ultrasonography and pathological biopsy.According to pathology,forty-eight patients were divided into benign group(n=27) and malignant group(n=21).There were no significant differences in gender,age, diameter of lymph nodes,primary diseases between two groups(P>0.05).Result:Diagnostic coincidence rate of contrast-enhanced ultrasonography was significantly higher than that of conventional ultrasound[91.67%(44/48) vs 77.08%(37/48),P=0.049].AUROC of contrast-enhanced ultrasound and conventional ultrasound were 0.907[95%CI(0.824,0.989)],0.771[95%CI(0.652,0.889)].Serial test (sensitivity:75.4%,specificity:96.7%,Yuden Index:0.72) was superior to parallel test(sensitivity:98.9%,specificity:64.6%,Yuden Index:0.64).Conclusion: Conventional ultrasonic combined contrast-enhanced ultrasonography(CEUS) is superior to conventional ultrasonography in diagnosis of neck superficial malignant lymphadenopathy.Serial test could improve specificity of diagnostic test.关键词
超声造影/恶性/肿大淋巴结/浅表Key words
Contrast-enhanced sonography/Malignant/Lymphadenopathy/Superficial引用本文复制引用
李霞,谢玉环,邝永培,何志忠,丁尚伟..超声造影诊断颈部浅表恶性肿大淋巴结的临床研究[J].中国医学创新,2016,13(35):35-38,4.基金项目
东莞市科技计划医疗卫生类科研项目 （）
