|
|
|
| Accuracy Comparison of Conventional Ultrasound and Elastography in Differential Diagnosis of Benign and Malignant Cervical Lymph Nodes |
| JIANG Qun, et al |
| The Second People's Hospital of Panzhihua, Sichuan Panzhihua 617000, China |
|
|
|
|
Abstract Objective: To study the conventional ultrasound and ultrasound elastography in the benign and malignancy applied value in differential diagnosis of cervical lymph nodes. Methords: 84 patients (104 nodules) with cervical lymphadenopathy diagnosed by pathology in our hospital from June 2016 to June 2018 were selected as the research objects. The lymph node vascular pattern was classified by color Doppler ultrasound. Ultrasound elastography was used to analyze the difference of hardness between the lesion area and surrounding tissues. The clinical significance of each index in differentiating benign from malignant cervical lymph nodes was analyzed. The diagnostic results were based on pathological findings, and the diagnostic accuracy of the two methods was compared. Results: Pathological diagnosis showed that 23 (22.12%) of 104 cervical lymph nodes were benign and 81 (77.88%) were malignant; 80 (76.92%) were diagnosed accurately by Doppler ultrasonography; 85 (81.73%) were diagnosed accurately by ultrasound elastography. There was no significant difference between the accuracy of color Doppler ultrasonography and ultrasound elastography. Significance (P>0.05); and pathological diagnosis results were significantly different, P<0.05. Conclusions: Ultrasound elastography has a slightly higher accuracy and sensitivity in the differential diagnosis of benign and malignant cervical lymph nodes, while color Doppler ultrasound has a distinct advantage in specificity, so it can be complementary in the differential diagnosis of superficial lymph nodes.
|
|
|
|
|
|
[1] 陈兴美.超声造影在颈部肿大淋巴结良恶性鉴别诊断中的应用[J].中华全科医学,2015,13(5):814~815.
[2] 张荣,王晓荣,宋涛,等.超声造影在颈部淋巴结疾病鉴别诊断中的价值[J].中国超声医学杂志,2016,32(5):392~395.
[3] 王文莉,韩灵敏.超声对颈部淋巴结性质鉴别及治疗价值的观察[J].中国临床医学影像杂志,2017,28(1):12~14.
[4] 孔晶,张波,李建初.超声造影在颈部良、恶性淋巴结鉴别诊断中的应用[J].中华医学超声杂志电子版,2015,12(2):108~111.
[5] 刘奇志,吴卫华,王雷,等.常规超声和超声弹性成像在颈部淋巴结良恶性鉴别诊断中的价值[J].中国临床医学,2016,23(1):74~76.
[6] 姚亚辉,李航.超声弹性成像对颈部恶性淋巴结鉴别诊断的价值[J].中国癌症防治杂志,2013,5(2):145~148. |
|
|
|
2019, Vol. 25 
