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目的探讨超声检查在肺癌锁骨上淋巴结转移诊断中的应用价值。方法选取2014年11月—2015年11月郑州大学洛阳附属中心医院收治的肺癌患者90例,患者均实行FNAC、X线检查和超声检查,并以FNAC诊断结果为金标准,比较X线检查与超声检查的诊断符合率、误诊率。结果超声检查对恶性转移性淋巴结、淋巴结肿大、典型转移性淋巴结、非典型转移性淋巴结的诊断符合率高于X线检查,差异有统计学意义(P<0.05)。超声检查的误诊率低于X线检查,差异有统计学意义(P<0.05)。结论与X线检查相比,超声检查在肺癌锁骨部位转移性淋巴结临床应用价值更高,诊断符合率较高。
Objective To investigate the value of ultrasonography in the diagnosis of supraclavicular lymph node metastasis in lung cancer. Methods Ninety patients with lung cancer who were admitted to Luoyang Affiliated Central Hospital of Zhengzhou University from November 2014 to November 2015 were enrolled. All patients underwent FNAC, X-ray and ultrasonography. The diagnostic results of FNAC were taken as gold standard. Diagnostic accuracy of ultrasound examination, misdiagnosis rate. Results The coincidence rate of ultrasonography in diagnosis of malignant metastatic lymph nodes, enlarged lymph nodes, typical metastatic lymph nodes and atypical metastatic lymph nodes was higher than that of X-ray examination (P <0.05). The misdiagnosis rate of ultrasound examination was lower than that of X-ray examination, the difference was statistically significant (P <0.05). Conclusion Compared with X-ray examination, ultrasonography is more valuable in clinical application of metastatic lymph nodes in the clavicular site of lung cancer, and the diagnostic coincidence rate is higher.