超声联合 <sup>18 </sup>F-FDG PET/CT对甲状腺乳头状癌术后复发转移的诊断价值

彭民; 石华铮; 熊爱民; 刘文杰

doi:10.19732/j.cnki.2096-6210.2020.04.004

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超声联合 ¹⁸F-FDG PET/CT对甲状腺乳头状癌术后复发转移的诊断价值

论著 | 更新时间：2025-12-15

- 超声联合 ¹⁸F-FDG PET/CT对甲状腺乳头状癌术后复发转移的诊断价值
- Value of color Doppler ultrasound combined with ¹⁸ F-FDG PET/CT in diagnosis of postoperative recurrence and/or metastasis in papillary thyroid carcinoma
- 肿瘤影像学 2020年29卷第4期页码：365-369
- 作者机构：
  
  1. 海军特色医学中心超声诊断科,上海,200052
  2. 上海全景医学影像诊断中心,上海,200035
  3. 海军第 905 医院超声诊断科,上海,200052
- 作者简介：
- 基金信息：
- DOI：10.19732/j.cnki.2096-6210.2020.04.004
  中图分类号：
- 网络出版：2020-08-28，
  
  纸质出版：2020-08-28
- 稿件说明：
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彭民,石华铮,熊爱民,等. 超声联合 ¹⁸F-FDG PET/CT对甲状腺乳头状癌术后复发转移的诊断价值[J]. 肿瘤影像学, 2020, 29(4): 365-369 https://doi.

org/10.19732/j.cnki.2096-6210.2020.04.004
彭民,石华铮,熊爱民,等. 超声联合 ¹⁸F-FDG PET/CT对甲状腺乳头状癌术后复发转移的诊断价值[J]. 肿瘤影像学, 2020, 29(4): 365-369 https://doi. DOI： 10.19732/j.cnki.2096-6210.2020.04.004.

org/10.19732/j.cnki.2096-6210.2020.04.004 DOI：

摘要

目的：

探讨彩色多普勒超声联合

F-FDG PET/CT对甲状腺乳头状癌术后复发和（或）淋巴结转移的临床诊断价值。

方法：

回顾并分析45例疑似甲状腺乳头状癌术后复发和（或）淋巴结转移患者的影像学检查资料，与病理学检查结果对照，分析比较彩色多普勒超声与

F-FDG PET/CT联合应用、单纯应用彩色多普勒超声及单纯应用PET/CT的临床诊断价值。

结果：

45例患者中病理学检查结果显示甲状腺乳头状癌术后复发和（或）转移34例，其中单纯局部复发5例，单纯淋巴结转移19例，局部复发合并淋巴结转移10例。彩色多普勒超声联合 18 F-FDG PET/CT对甲状腺乳头状癌术后复发和（或）转移诊断的灵敏度、特异度、准确率显著高于单纯应用彩色多普勒超声及单纯应用

F-FDG PET/CT，差异有统计学意义（

＜0.05）。

结论：

彩色多普勒超声联合

F-FDG PET/CT能显著提高对甲状腺乳头状癌术后复发和（或）淋巴结转移诊断的准确率，降低漏诊误诊率，尤其是颈部以外区域转移的病灶，两者联合具有重要的临床应用价值。

Abstract

Objective:

To evaluate the value of color Doppler ultrasound (US) combined with

F-FDG PET/CT in the diagnosis of postoperative recurrence or lymph node metastasis in papillary thyroid carcinoma.

Methods:

Clinical data of 45 cases who were suspected recurrence and/or lymph node metastasis in papillary thyroid carcinoma were analyzed retrospectively. All cases co

nfirmed by pathology were compared with the diagnostic value between US combined with PET/CT and US

US combined with PET/CT and PET/CT.

Results:

A total of 34 cases were diagnosed as recurrence and/or lymph node metastasis in papillary thyroid carcinoma postoperative by pathological diagnosis

and 5 cases were local recurrence

and 19 cases were only lymph node metastasis

and 10 cases were local recurrence with lymph node metastasis. The sensitivity

specificity

accuracy of US combined with PET/CT was significantly higher than those of simple US and simple PET/CT

and the difference was statistically significant (

＜0.05).

Conclusion:

US combined with

F-FDG PET/CT can improve the diagnostic sensitivity and accuracy in the diagnosis of postoperative recurrence or lymph node metastasis in papillary thyroid carcinoma

reduce the rate of misdiagnosis

especially for patients with suspected lymph node metastasis of infrequently involved levels. There is the important clinical value of US combined with

F-FDG PET/CT in the diagnosis of postoperative recurrence or lymph node metastasis in papillary thyroid carcinoma.

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Value of color Doppler ultrasound combined with 18 F-FDG PET/CT in diagnosis of postoperative recurrence and/or metastasis in papillary thyroid carcinoma

DOI：10.19732/j.cnki.2096-6210.2020.04.004

摘要

Abstract

关键词

Keywords

references

超声联合 ¹⁸F-FDG PET/CT对甲状腺乳头状癌术后复发转移的诊断价值

Value of color Doppler ultrasound combined with ¹⁸ F-FDG PET/CT in diagnosis of postoperative recurrence and/or metastasis in papillary thyroid carcinoma