摘要
目的探讨超声鉴别甲状腺癌和结节性甲状腺肿的应用效果。方法选择2012年1月至2015年1月期间我院收治的甲状腺癌患者55例与结节性甲状腺肿患者65例,回顾性分析超声影像资料。观察甲状腺癌与结节性甲状腺肿的超声检出情况,甲状腺癌与结节性甲状腺肿的超声声像图特征,以及甲状腺癌与结节性甲状腺肿的阻力指数、内部血流峰值。结果甲状腺癌组55例患者中,术前超声明确检出32例(合并颈部淋巴结转移28例),疑似甲状腺癌18例,漏诊3例,误诊2例。65例结节性甲状腺肿患者中,术前超声明确检出55例,疑似7例,误诊3例。两组患者回声、边界、血流及钙化情况的差异有统计学意义(P<0.05或P<0.01)。甲状腺癌组的阻力指数及内部血流峰值显著高于结节性甲状腺肿组,差异有统计学意义(P<0.05)。结论超声鉴别甲状腺癌和结节性甲状腺肿时,应密切观察结节的内部回声、边界、血流分析、有无微小钙化等指标,这对疾病诊断具有重要的意义。
Objective To explore the application effect of ultrasound to identify thyroid carcinoma and nodular goiter. Methods From January 2013 to January 2013,55 patients with thyroid carcinoma in our hospital and 65 patients with nodular goiter were enrolled as research object Give to the ultrasonic ima- ging data were retrospectively analyzed. Ultrasonic observation of thyroid carcinoma and nodular goiter,Thy- roid cancer with ultrasonic uhrasonographic characteristics of nodular goiter, As well as thyroid carcinoma and nodular goiter resistance index Internal blood flow peak. Results 55 cases of thyroid carcinoma pa- tients, Preoperative ultrasonography clearly detected 32 cases （28 cases with cervical lymph node metasta- sis） ,18 cases of suspected thyroid cancer, Missed diagnosis of 3 cases, Misdiagnosis of 2 cases. In 65 pa- tients with nodular goiter, Preoperative ultrasound clearly detected 55 cases,7 cases of suspected, Misdiagno- sis of 3 eases. The two groups in echo Boundary Blood flow and calcification of comparison（ P 〈 0. 05 或 P 〈 0.01 ） The resistance index and the blood flow peak in thyroid cancer group was significantly higher than that of nodular goiter group（P 〈 0. 05） Conclusions Ultrasonography in differential diagnosis of thyroid carci- noma and nodular goiter Should be closely observed nodule by ultrasound Boundary Blood analysis Have the indicators such as tiny calcification This is important for disease diagnosis.
出处
《中国肿瘤临床与康复》
2015年第8期970-972,共3页
Chinese Journal of Clinical Oncology and Rehabilitation
