摘要
目的:探讨超声在桥本氏甲状腺炎合并甲状腺癌的诊断价值。方法:回顾性分析某院于2013年1月~2014年月2月来院经诊断确诊为52例桥本氏甲状腺炎合并甲状腺癌(观察组)和43例单纯性甲状腺癌(对照组)的超声图像特征,共90个癌结节,采用SPSS 17.0软件统计分析桥本氏甲状腺炎合并甲状腺癌和单纯性甲状腺癌超声图像特征的差异。结果:观察组52例患者中术后病理诊断桥本氏甲状腺合并乳头状癌48例,合并滤泡癌2例,合并髓样癌2例。对照组43例中术后病理诊断甲状腺乳头状癌37例,合并滤泡癌4例,合并髓样癌2例;观察组癌结节诊断率为57.69%,显著低于对照组的81.40%,差异有统计学意义(P<0.05);观察组癌结节与对照组癌结节多表现为形态不规则、边界不清晰,微钙化及II^III级血流信号,差异均有统计学意义(P<0.05)。结论:分析桥本氏甲状腺炎合并甲状腺癌的超声特征表现,有利于提高甲状腺癌的检出率。
Objective:To discuss the value of diagnosing Hashimoto's thyroiditis complicated with thyroid carcinoma by ultrasound.Methods:Retrospectively analyze ultrasonographic features of 52 cases of Hashimoto's thyroiditis complicated with thyroid carcinoma patients(observation group)and 43 cases of pure thyroid carcinoma patients(control group)received by a hospital during the period from January 2013 to February2014.The total number of cancer nodes is 90.The SPSS 17.0software is used to analyze difference between ultrasonographic features of Hashimoto's thyroiditis complicated with thyroid carcinoma and pure thyroid carcinoma.Results:Pathological diagnosis of 52 patients in observation group after the surgery showed that Hashimoto's thyroiditis complicated with papillary carcinoma were 48 cases,complicated with follicular carcinoma were 2cases and complicated with medullary carcinoma were 2cases.Pathological diagnosis of 43 patients in control group after the surgery showed that Hashimoto's thyroiditis complicated with papillary carcinoma were 37 cases,complicated with follicular carcinoma were 4cases and complicated with medullary carcinoma were 2cases.Diagnostic rate of cancer node in observation group was 57.69%,which was significantly lower than the 81.40%in control group,the differences between the two groups were statistically significant(P<0.05).Cancer nodes in observation group and control group showed irregular shape,unclear boundary,microcalcification and II^III grade blood flow signal,the differences between the two groups were statistically significant(P<0.05).Conclusion:Analyzing ultrasonographic features of Hashimoto's thyroiditis complicated with thyroid carcinoma helps improve detection rate of thyroid carcinoma.
出处
《数理医药学杂志》
2016年第2期187-189,共3页
Journal of Mathematical Medicine
关键词
桥本氏甲状腺炎
甲状腺癌
超声
诊断价值
hashimoto's thyroiditis
thyroid carcinoma
ultrasound
diagnostic value
