摘要
目的:评估彩色多普勒在甲状腺结节诊断中的应用价值。方法:选取术后病理证实的结节性甲状腺肿150例和甲状腺癌151例,回顾性分析其术前超声图像特征。结果:150例结节性甲状腺肿与151例甲状腺癌的超声图像在结节数量、有无沙砾样钙化、内部回声、血流分布方面有统计学差异(P<0.05),而在边界是否清晰方面无统计学意义(P>0.05)。甲状腺恶性结节在结节数量、边界是否清晰、有无沙砾样钙化、内部回声、血流分布方面的相对危险度分别为11.78、0.72、12.20、58.90、41.53。结论:应用彩色多普勒,可以对结节良恶性进行鉴别诊断,从而为制定治疗方案提供有价值的信息。
Objective To estimate the application value of color Doppler ultrasonography in the diagnosis of thyroid nodules. Methods One hundred and 50 cases of nodular goiter and 151 cases of thyroid carcinoma confirmed by postoperative pathology were collected, and their preoperative sonographic characteristics were retrospectively analyzed. Results Statistically significant differences were found between ultrasound images of 150 tuberous goiter patients and of 151 thyroid carcinoma patients as followed： the number of nodules, the existence of gravel-like calcification, echo and blood flow distribution （P 0.05）. But no statistically significant difference was found in whether the borderline was distinctive or not （P 0.05）. The odds ratio of thyroid malignant nodules were 11.78, 0.72, 12.20, 58.90 and 41.53 respectively in aspects as followed： the number of nodules, whether the borderline is distinctive or not, gravel-like calcification, echo and flow distribution. Conclusion Color Dopple ultrasonography could be applied to differential diagnosis between benign and malignant thyroid nodules, which may provide us with promising information about selection of treatment and operative procedures.
出处
《中国中西医结合外科杂志》
CAS
2010年第6期649-651,共3页
Chinese Journal of Surgery of Integrated Traditional and Western Medicine
关键词
结节
甲状腺肿
甲状腺癌
彩色多普勒
鉴别诊断
nodule
tuberous goiter
thyroid carcinoma
color Doppler ultrasound
differential diagnosis
