摘要
目的探讨彩超用于鉴别甲状腺结节性病变的诊断价值。方法对2014年1月-2015年1月在我院进行检查的90例甲状腺结节患者的超声图像及血流情况进行回顾性分析。结果 90例甲状腺结节患者经手术病理确诊共100个结节,其中82例为良性病变,共88个结节,包括甲状腺腺瘤48个结节和结节性甲状腺肿24个结节,甲状腺囊肿10个结节。8例为恶性病变,均为甲状腺癌,共12个结节。良性结节在形态、边界、内部回声、内部结构及钙化、晕环、包膜方面与恶性结节比较,差异具有统计学意义（P〈0.05）。良性结节血流动力学分级2级以下72个（81.8%）,恶性结节血流动力学分级3级以上8个（66.7%）,甲状腺良性结节的RI（0.59±0.12）,甲状腺恶性结节RI（0.71±0.11）,差异具有统计学意义（P〈0.05）。结论彩色多普勒技术可用于甲状腺肿瘤良恶性的鉴别,为临床上选择合适的治疗方法提供了较好的参考依据,对于改善患者的预后具有重要的临床意义。
Objective To explore the diagnostic value of color Doppler ultrasonography in the diagnosis of thyroid nodules. Methods Ultrasound images and blood flow of 90 patients with thyroid nodules were retrospectively analyzed,who were examined in our hospital from January 2014 to January 2015. Results In the 90 cases of thyroid nodules,100 nodules were confirmed by operation and pathology,of which 82 cases were benign lesions,a total of 88 nodules,including 48 nodules of thyroid adenoma,24 nodules of nodular goiter, and 10 nodules of thyroid cyst.8 cases were malignant lesions,which were all thyroid carcinoma,a total of 12 nodules.Compared with the malignant nodules,for benign nodules,there were statistical difference in the shape,boundary,internal echo,internal structure and calcification,halo ring and envelope（P〈0.05）.For benign nodes,there were 72 below 2 levels of hemodynamic classification（81.8%）.For malignant nodes,there were 8 above 3 levels of hemodynamic classification（66.7%）.RI of benign thyroid nodules was（0.59±0.12）,RI of malignant thyroid nodules was（0.71±0.11）,and the difference was statistically significant（P 〈0.01）. Conclusion The color Doppler technique could be used in the differentiation of benign and malignant thyroid tumors,which provided a good reference for the selection of appropriate treatment methods in clinic,and had important clinical significance for improving the prognosis of patients.
出处
《中国医药科学》
2016年第11期179-181,共3页
China Medicine And Pharmacy
关键词
甲状腺结节
彩超
血流分级
阻力指数(RI)
Thyroid nodule
Color Doppler flow imaging
Blood flow classification
Resistance index（RI）
