| 白爱芳 张建蕾 张妮妮 闫怡 齐艳.超声诊断结节性甲状腺肿合并甲状腺微小乳头状癌的价值[J].,2015,15(33):6538-6541 |
| 超声诊断结节性甲状腺肿合并甲状腺微小乳头状癌的价值 |
| The Diagnostic Value of Ultrasonography for the Nodular Goiter Combinedwith Papillary Thyroid Microcarcinoma |
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| DOI： |
| 中文关键词: 结节性甲状腺肿 甲状腺微小乳头状癌 二维超声 超声弹性成像 超声造影 |
| 英文关键词: Nodular goiter Small papillary thyroid cancer Two-dimensional ultrasound Ultrasound elastography Ultrasound
contrast |
| 基金项目:陕西省社会发展攻关项目(2011K15-06-14) |
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| 中文摘要: |
| 目的：探讨超声诊断结节性甲状腺肿合并甲状腺微小乳头状癌的价值。方法：2010 年1 月至2014 年12 月选择来我院进行
诊治的结节性甲状腺肿患者80 例，病理诊断为结节性甲状腺肿合并甲状腺微小乳头状癌30 例(恶性组)和单纯结节性甲状腺肿
50 例(良性组)，都进行常规二维超声、超声弹性成像和超声造影检查。结果：恶性组结节多呈现单发、内部低回声、钙化形态不规
则特征，与良性组对比差异有统计学意义(P<0.05)。恶性组病灶内的血流最小流速明显小于良性组(P<0.05)，阻力指数与搏动指数
明显高于良性组(P<0.05)。良性组弹性成像多为2~3 分，恶性组多为4~5 分，组间对比差异都有统计学意义(P<0.05)。恶性组的造
影剂平均通过时间明显少于对照组(P<0.05)，两组的显影时间、达峰时间、峰值强度对比差异无统计学意义（P>0.05）。结论：常规超
声诊断结节性甲状腺肿合并甲状腺微小乳头状癌的良恶性有一些特异性的征象，超声弹性成像与超声造影可为临床诊断提供补
充，有助于提高甲状腺微小乳头状癌的诊断准确率。 |
| 英文摘要: |
| Objective:To evaluate the diagnostic value of ultrasonography for the nodular goiter combined with papillary thyroid
microcarcinoma.Methods:From January 2010 to December 2014, 80 nodular goiter patients were selected in our hospital for diagnosis
and treatment. They included the nodular goiter combined with papillary thyroid microcarcinoma of 30 patients (malignant group) and
nodular goiter of 50 patients (benign group), All patients were carried conventional two-dimensional ultrasound, ultrasound elastography
and ultrasound imaging detection.Results:The ultrasound image in the malignant group showed more single, low internal echo,
calcification and more irregular features, and the differences were statistically significant compared with that of the benign group (P <0.
05). The minimum blood flow velocity in the malignant group was significantly lower than that of the benign group (P <0.05), and the
resistance index and pulsatility index were significantly higher than those of the benign group (P <0.05). The elastography were more 2-3
points in the benign group, and more 4-5 points in malignant group, and the differences were statistically significant between two groups
(P <0.05). The average contrast agents transit time in the malignant group were significantly less than that of the control group (P <0.05),
the difference in the developing time, peak time, peak intensity were not statistically significant between two groups.Conclusion:Conventional diagnostic ultrasound for nodular goiter combined with papillary thyroid microcarcinoma has some specific signs, and the
ultrasound elastography and ultrasound imaging can provide additional clinical diagnosis, help improve the diagnostic accuracy for small
papillary thyroid carcinoma. |
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