夏从乐 袁婷

[摘要] 目的 探討分析运用超声鉴别诊断颈部浅表淋巴结良恶性的临床价值效果。 方法 选取2018年6月至2020年6月我院收治的颈部浅表淋巴结患者100例为研究对象进行研究，对所有患者分别进行病理检测和超声检测，根据患者颈部浅表淋巴结良性和恶性分为两组，第一组为良性浅表淋巴结组，第二组为恶性浅表淋巴结组，比较观察两组超声图像的差异特点。 结果 病理检测结果，良性患者53例，恶性患者47例;超声检测结果，良性患者52例，准确率98.11%，恶性患者47例，准确率100.00%;病理检测结果与超声检测结果比较，差异无统计学意义（P>0.05）。两组的超声图像，在淋巴结大小、淋巴结长径/短径比值（L/S）、边界、淋巴结门、血流类型方面比较，差异有统计学意义（P<0.05）。 结论 运用超声鉴别诊断颈部浅表淋巴结良恶性的准确率较高，能够有效鉴别颈部浅表淋巴结病变属于良性病变还是恶性病变，可取得理想的诊断效果，与此同时，通过超声诊断还可以将患者颈部浅表淋巴结病变位置的实际情况进行直观的观察，在检查耗时方面也比较少，能够为患者后续治疗节约更多的宝贵时间，所以超声鉴别诊断颈部浅表淋巴结良恶性的临床价值效果显著，应予以推广。

[关键词] 超声;颈部浅表淋巴结;良性;恶性;准确率

[中图分类号] R733.1          [文献标识码] B          [文章编号] 1673-9701（2021）36-0109-03

Clinical value of ultrasound in the differential diagnosis of benign and malignant superficial cervical lymph nodes

XIA Congle   YUAN Ting

Department of Ultrasound Imaging， Songzi People′s Hospital， Songzi   434200， China

[Abstract] Objective To investigate the clinical value of ultrasound in the differential diagnosis of benign and malignant superficial cervical lymph nodes. Methods A total of 100 patients with superficial cervical lymph nodes admitted to our hospital from June 2018 to June 2020 were selected as the study subjects. Pathological examination and ultrasonography were performed in all patients. The patients were divided into two groups according to the benign and malignant superficial cervical lymph nodes. The first group was set as benign superficial lymph nodes group and the second group as malignant superficial lymph nodes group. The different characteristics of ultrasonography images between the two groups were compared and observed. Results The results of the pathological examination showed that there were 53 benign patients and 47 malignant patients. The results of ultrasound examination showed that there were 52 patients with benign superficial lymph nodes， with an accuracy rate of 98.11%， and 47 patients with malignant superficial lymph nodes， with an accuracy rate of 100.00%. There was no significant difference between the results of pathological examination and ultrasound examination， with no statistical significance （P>0.05）. The ultrasound images of the two groups are significantly different in lymph node size， lymph node long-diameter/short-diameter ratio （L/S）， border， lymph node hilum， and blood flow type， and the differences were statistically significant （P<0.05）. Conclusion Ultrasound has high accuracy in the differential diagnosis of benign and malignant superficial cervical lymph nodes. It can effectively differentiate whether cervical superficial lymph node lesions belong to benign lesions or malignant lesions， and can obtain the ideal diagnostic effect. At the same time， the actual situation of the location of cervical superficial lymph node lesions can also be visually observed by ultrasound diagnosis， which is also less time-consuming in the examination and can save more valuable time for the subsequent treatment of patients. Therefore， ultrasound has a clinical effect on the differential diagnosis of benign and malignant cervical superficial lymph nodes and should be popularized.

[Key words] Ultrasound; Superficial cervical lymph nodes; Benign; Malignant; Accuracy

淋巴结病变的致病因素在临床中众多，常见的致病因素包括肿瘤转移、机体局部感染或是全身感染等。在对患者开展实际临床检查时，需要采取敏感度和特异性较高的检查手段来开展检查工作。……