彩色多普勒超声对结节性甲状腺肿与甲状腺腺瘤的诊断价值被引量：31

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摘要目的探讨彩色多普勒超声(CDFI)对结节性甲状腺肿与甲状腺腺瘤的诊断价值。方法选取2012年4月-2015年4月我院收治的甲状腺疾病患者97例,根据患者病理检查结果分为甲状腺腺瘤组(51例)与结节性甲状腺肿组(46例)。两组均进行CDFI检查,观察并比较两组患者CDFI检查结果、病灶内部及周边血流情况。结果结节性甲状腺肿组病灶以多发为主,病灶回声以混合性为主,病灶无包膜,边界模糊,周围无明显声晕;甲状腺腺瘤组病灶以单发为主,病灶回声以实性为主,病灶有包膜,与周边组织界限清楚,周围通常存在声晕;两组病灶数量、边界、内部回声、声晕及包膜发生情况差异均有统计学意义(P<0.05);结节性甲状腺肿组患者病灶内部及周边血流的信号不明显,以0和I级为主;甲状腺腺瘤组患者病灶内部及周边存在丰富的血流信号,以Ⅱ、Ⅲ级为主,显著强于结节性甲状腺肿组(Z=35.534,17.832;P均<0.05),且甲状腺腺瘤组病灶内部及周边血流丰富的发生率明显强于结节性甲状腺肿组(χ2=19.966,4.732;P均<0.05)。结论CDFI可以通过病灶特征及病灶血流信号强度鉴别诊断结节性甲状腺肿与甲状腺腺瘤,可为临床诊断及治疗提供重要依据,具有重要的临床价值。

作者李伟钢罗萍刘志凤许慧英李波

机构地区广东省广州市黄埔区红十字会医院超声科

出处《宁夏医科大学学报》 2016年第7期797-799,共3页 Journal of Ningxia Medical University

关键词彩色多普勒超声结节性甲状腺肿甲状腺腺瘤鉴别诊断

分类号 R445.1 [医药卫生—影像医学与核医学] R581.3 [医药卫生—内分泌] R736.1 [医药卫生—肿瘤]

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