Findings on Routine Abdominal Ultrasonography in Cystic Fibrosis Patients
Findings on Routine Abdominal Ultrasonography in Cystic Fibrosis Patients
复制标题
囊性纤维化患者常规腹部超声检查结果
DOI：
10.1097/00000658-199901000-00008
复制
发表时间：
1999
影响因子：
0.3
通讯作者：
T. Aikou
中科院分区：
文献类型：
--
作者：
S. Natsugoe;H. Yoshinaka;M. Shimada;K. Shirao;S. Nakano;C. Kusano;M. Baba;T. Fukumoto;S. Takao;T. Aikou
目标
评价超声检查对食管癌颈部淋巴结转移的诊断价值。
背景数据摘要
超声（US）检查有助于诊断淋巴结转移。然而，很少有报告探讨其在食管癌颈淋巴结清扫术决策中的作用。
方法
对519例食管癌患者进行超声检查评估颈部淋巴结转移情况。根据所接受的治疗将患者分为5组：第1组153例，接受右侧开胸原发肿瘤根治性切除和双侧颈部淋巴结清扫术；第2组，112例，接受右侧开胸原发肿瘤根治性切除术，但未行颈部淋巴结清扫术；第3组，78例，行左胸廓切开术或钝性清扫术行食管切除术，伴或不伴颈部淋巴结切除；第4组，76例行姑息性切除，未行颈部淋巴结清扫；第5组100例，未进行任何手术治疗。将超声诊断与组织学结果或颈部淋巴结复发进行比较。
结果
30.8% 的患者（160/519）检测到淋巴结转移。第 1 组超声诊断的敏感性、特异性和准确性分别为 74.5%、94.1% 和 87.6%。第1组7例（4.6%）、第2组4例（3.6%）、第3组3例（3.8%）出现颈部淋巴结复发。虽然超声检查发现颈部淋巴结转移发生率较高，但第4组和第5组几乎没有患者死于颈部淋巴结转移。
结论
超声检查在食管癌患者（特别是那些可能进行根治性切除的患者）进行颈淋巴结清扫术的决定中发挥着有用的作用。
OBJECTIVE
To evaluate the efficacy of ultrasonography for the diagnosis of cervical lymph node metastasis in esophageal carcinoma.
SUMMARY BACKGROUND DATA
Ultrasound (US) examination is useful for diagnosing lymph node metastasis. However, few reports have examined its role in the decision to perform cervical lymph node dissection in esophageal carcinoma.
METHODS
Ultrasound examination was performed to evaluate cervical lymph node metastasis in 519 patients with esophageal carcinoma. The patients were divided into 5 groups according to treatment received: group 1, 153 patients who underwent curative resection of primary tumor by right thoracotomy and complete bilateral cervical lymphadenectomy; group 2, 112 patients who underwent curative resection of primary tumor by right thoracotomy but without cervical lymphadenectomy; group 3, 78 patients who underwent esophagectomy by left thoracotomy or blunt dissection with or without removal of cervical lymph nodes; group 4, 76 patients with palliative resection without cervical lymphadenectomy; and group 5, 100 patients without any surgical treatment. US diagnosis was compared with histologic findings or cervical lymph node recurrence.
RESULTS
Lymph node metastasis was detected in 30.8% of patients (160/519). The sensitivity, specificity, and accuracy of US diagnosis in group 1 were 74.5%, 94.1%, and 87.6%, respectively. Cervical lymph node recurrence was seen in 7 patients (4.6%) in group 1, in 4 patients (3.6%) in group 2, and 3 patients (3.8%) in group 3. Although the incidence of cervical lymph node metastasis as determined by US examination was high in groups 4 and 5, almost none of the patients died of cervical lymph node metastasis.
CONCLUSIONS
Ultrasound examination plays a useful role in the decision to perform cervical lymph node dissection in patients with esophageal carcinoma, particularly in those with potentially curative dissection.