摘要
目的探讨超声造影联合细针穿刺在甲状腺结节诊断中的意义。方法 26例甲状腺结节术前常规二维及彩色多普勒超声检查后,行超声造影检查。观察造影剂开始显影、达峰及消退的全过程。并用ACQ软件进行时间-强度曲线分析。同时所有结节行超声引导下的细针穿刺(FNAC),细胞病理学检查。结果结合超声造影和细针穿刺的结果,与术后常规病理相比较,甲状腺良性结节诊断准确率94.6%,恶性结节诊断准确率100%。结论超声造影联合细针穿刺对甲状腺结节良恶性的鉴别提供了更多的信息,明显提高了术前的诊断准确率。
Objective To discuss the diagnostic value of contrast-enhanced ultrasound and fine needle aspiration in the thyroid nodule.Methods Twenty-six thyroid nodules were examined by two dimensional and color doppler ultrasonography.Following the contrast-enhanced ultrasound,we observed the beginning of contrast agent enhancement,the peak and dissipation as a whole,and analyzed the time-intensity curve with ACQ software.Meanwhile,the fine needle aspiration cytology（FNAC） was done under the guidance of ultrasound and all nodules were examined pathologically.Results Compared with the pathological report after operation,the accurate diagnosis ratio of the innocent thyroid nodule was 94.6%,and the malignant thyroid nodule was 100% when the results of contrast-enhanced ultrasound and fine needle aspiration in the thyroid nodule was considered.Conclusion Contrast-enhanced ultrasound and fine needle aspiration can provide more information for the diagnosis of thyroid nodules,which could raise the accurate diagnosis ratio before operation.
出处
《实用临床医药杂志》
CAS
2011年第17期77-79,共3页
Journal of Clinical Medicine in Practice
关键词
甲状腺结节
超声造影
细针穿刺
thyroid nodule
contrast-enhanced ultrasound
fine needle aspiration
