摘要
目的:分析甲状腺恶性结节彩色多普勒超声特征,探讨彩色多普勒超声对甲状腺恶性结节的诊断价值。方法:收集近期在笔者所在医院选择手术治疗的甲状腺恶性结节患者79例,对其临床资料进行统计分析,回顾性分析甲状腺恶性结节彩色多普勒超声特征,探讨彩色多普勒超声对甲状腺恶性结节的诊断价值。结果:超声对甲状腺恶性结节的诊断率为72.2%,误诊率为27.8%;其中误诊为结节性甲状腺肿17例(77.3%),甲状腺腺瘤3例(13.6%),其他2例(9.1%)。甲状腺恶性结节超声检查主要依赖于对结节形态特征的评价,主要包括:边界、回声、内部回声结构、钙化特点以及结节内部血流情况等,恶性结节的主要特点为边界不清、低回声、内部为实性结构、无钙化或微钙化、结节内部血流丰富。结论:彩色多普勒超声对于甲状腺恶性肿瘤的诊断具有一定的价值,根据各项超声检查特征进行综合分析可以提高诊断率。
Objective：To analyze the malignant thyroid nodules color Doppler ultrasound characteristics,to explore the value of color Doppler ultrasound in the diagnosis of malignant thyroid nodules.Method：Collected 79 cases of patients with malignant thyroid nodules recently in our hospital and analyzed the clinical statistical data,retrospective analysis of thyroid malignant nodules color Doppler ultrasound characteristics.Result：The diagnosis of malignant thyroid nodules rate of ultrasonography was 72.2%,the misdiagnosis rate was 27.8%;misdiagnosed as nodular goiter,in which 17 cases （77.3%）,thyroid adenoma,3 cases （13.6%）,and the other two cases （9.1%）.Thyroid malignant nodules ultrasound depends on the evaluation of nodular morphological features including：the boundary echo,internal echo structure,calcification characteristics as well as nodular internal blood flow conditions,the main features of the malignant nodules ill-defined,hypoechoic,solid structure within the no calcification or microcalcification,rich of nodules internal blood flow.Conclusion：Color Doppler ultrasound has a certain value for the diagnosis of thyroid malignancy according to the ultrasound characteristics of a comprehensive analysis and can improve the diagnostic rate.
出处
《中国医学创新》
CAS
2012年第32期90-91,共2页
Medical Innovation of China
关键词
恶性甲状腺结节
彩色多普勒超声
特征
Malignant thyroid nodules
Color doppler ultrasound
Characteristics
