摘要
目的:分析并研究高频彩色多普勒超声诊断甲状腺微灶癌的临床价值,从而为临床诊断提供依据和指导。方法:依据纳入排除标准共选取96例经手术或病理分析证实的甲状腺微灶癌患者作为临床研究对象,对其进行高频彩色多普勒超声检查,分析其超声声像图、超声表现和超声诊断结果。结果:高频彩色多普勒超声诊断正确率为95.8%;癌变的性质主要为乳头状癌、滤泡状癌、腺瘤等,分别占31.3%、27.1%、21.9%;声像图特点显现出肿块直径均小于1.0 cm,甲状腺内部回声多不均匀且较低落,28.1%的患者伴随有颈部淋巴结的转移;80.2%的患者癌结节病灶中的血流较为丰富且杂乱无章,其余患者血流信号中等或者稀疏。结论:高频彩色多普勒超声对甲状腺微灶癌的诊断价值较高,既可早期发现癌性结节,得到早期治疗,又可提高癌性结节的诊断率,从而显著提高治疗有效率,值得临床推广使用。
Objective：To analyze and research the clinical value of high frequency color Doppler ultrasound on diagnosing thyroid micro-carcinoma,in order to provide clinical diagnosis basis and guidance.Method：According to inclusion and exclusion criteria,96 thyroid micro-carcinoma patients who were diagnoses by operation and pathology,they were examined by high frequency color Doppler ultrasound,analyzed their ultra-sound imaging,ultra-sound expression and ultra-sound diagnosis.Result：The diagnosis accuracy rate of high frequency color Doppler ultrasound was 95.8%. The properties of cancer were papillo-carcinoma,le carcinome folliculaire,adenoma,they accounted for 31.3%,27.1%,21.9%.The features of acoustic image showed that the diameter of tumor was less than 1.0 cm,reverberation of thyroid interior was not equality and let droop,there were 28.1% patients had cervical lymph node transform.80.2% patients’ bleeding volume of cancerous tubercle carcinomatous was rich and irregular,other patients’ signal of blood flow was middle and sparse.Conclusion：High frequency color Doppler ultrasound has a high diagnosis value on diagnosing thyroid micro-carcinoma,it can find cancerous early and improve the diagnosis rate,so as to improve the effective curative effect,it is worthy of promotion in clinical.
出处
《中外医学研究》
2015年第10期3-5,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
高频彩色多普勒超声
甲状腺微灶癌
临床价值
High frequency color Doppler ultrasound
Thyroid micro-carcinoma
Clinical value
