分化型甲状腺癌30例前哨淋巴结临床研究(1)
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[摘要] 目的:探讨分化型甲状腺癌前哨淋巴结的检测及其对颈淋巴结转移的预测价值。方法:采用亚甲蓝染色法,对30例分化型甲状腺癌患者进行前哨淋巴结活检,并行颈淋巴结清扫,将染色的前哨淋巴结和未染色的淋巴结分别送检,比较两者的病理学状况。结果:30例甲状腺癌患者中,24例显示了前哨淋巴结,平均每例2.6枚,14例为阳性,其敏感度、准确度、假阴性率分别为87.5%、80.0%、20.0%。结论:甲状腺癌前哨淋巴结检测能准确反映颈部淋巴结转移状况,对分化型甲状腺癌淋巴结转移的判断有重要的预测价值。
[关键词] 甲状腺肿瘤;前哨淋巴结;转移
[中图分类号] R736.1 [文献标识码]B[文章编号]1673-7210(2009)08(b)-153-02
Clinial study of the sentinel lymph of patients with differentiated thyroid carcinoma
ZHANG Yihong, YU Qiufeng, MIAO Chaoliang
(The Cancer Hospital of Liaocheng, Liaocheng 252000,China)
[Abstract] Objective: To investigate the detecting methods of the sentinel lymph nodes of the differentiated thyroid carcinoma. Methods: In 30 cases who suffered from differentiated thyroid carcinoma, them ethylene blue was used to indentify the sentinel lymph nodes, and cervical node dissection was performed ......
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