超声评估甲状腺旁淋巴结在早期自身免疫性甲状腺炎中的重要性。
Importance of sonographic paratracheal lymph node evaluationin early autoimmune thyroiditis.
机构信息
Department of Radiology, Faculty of Medicine, Medipol University, İstanbul, Turkey.
Department of Medical Biochemistry, Faculty of Medicine, Medipol University, İstanbul, Turkey.
出版信息
Turk J Med Sci. 2016 Dec 20;46(6):1862-1870. doi: 10.3906/sag-1511-95.
BACKGROUND/AIM: To review the sonographic views of paratracheal lymph nodes (PLNs) in the diagnosis and during different stages of autoimmune thyroiditis.
MATERIALS AND METHODS
Features of the PLNs (left and right), thyroid sonography, and laboratory data were investigated in 126 cases. Patients were divided into three groups by using thyroid sonographic criteria in the literature (group 1: control, group 2: early-stage/indeterminate, group 3: definite thyroiditis). Indeterminate patients were followed up for 1 year and included as indeterminate/early-stage thyroiditis patients.
RESULTS
Percentage of right and left PLN was 13.3% and 46.2% in control cases, 21.2% and 80% in early-stage/indeterminate cases, and 41.3% and 88.5% in definite thyroiditis cases. Significant among-group differences were evident in terms of right and left PLNs presence (Pearson chi-squared test, P = 0.011 and P = 0.001).
CONCLUSION
Careful and thorough review of the PLNs can ensure diagnosis of autoimmune thyroiditis even in cases of early stage of the disease and prevent false-negative diagnoses.
背景/目的：回顾甲状旁腺淋巴结（PLN）在自身免疫性甲状腺炎诊断和不同阶段的超声表现。
材料与方法
对 126 例患者的 PLN（左右）、甲状腺超声和实验室数据进行了研究。根据文献中的甲状腺超声标准，患者被分为三组（第 1 组：对照组，第 2 组：早期/不确定组，第 3 组：明确的甲状腺炎组）。不确定的患者随访 1 年，被归类为不确定/早期甲状腺炎患者。
结果
对照组右侧和左侧 PLN 的比例分别为 13.3%和 46.2%，早期/不确定组分别为 21.2%和 80%，明确的甲状腺炎组分别为 41.3%和 88.5%。右侧和左侧 PLN 存在的组间差异有统计学意义（Pearson 卡方检验，P=0.011 和 P=0.001）。
结论
仔细全面地检查 PLN 有助于诊断自身免疫性甲状腺炎，即使在疾病早期也能避免误诊。
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