| 王多丽,王大龙,梁蕊蕊,等.甲状腺乳头状癌的超声特征及弹性成像诊断[J].中国临床保健杂志,2021,24(6):847-849. |
| 甲状腺乳头状癌的超声特征及弹性成像诊断 |
| Analysis of ultrasonic features and elastography diagnosis of papillary thyroid carcinoma |
| 投稿时间：2021-05-14 |
| DOI：10.3969/J.issn.1672-6790.2021.06.028 |
| 中文关键词: 甲状腺癌,乳头状 超声检查,多普勒,彩色 弹性成像技术 诊断,鉴别 |
| 英文关键词: Thyroid cancer,papillary Ultrasonography,doppler,color Elasticity imaging techniques Diagnosis,differential 〖FL |
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| 摘要点击次数: 1963 |
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| 中文摘要: |
| 目的 分析甲状腺乳头状癌的超声特征及弹性成像诊断技术。方法 回顾性分析2017年5月2020年5月在我院经手术病理证实的45例甲状腺乳头状癌患者病历资料,通过分析其超声声像图和弹性成像图的特征,并与病理结果进行对照,讨论其对甲状腺乳头状癌诊断的价值。结果 甲状腺乳头状癌与甲状腺良性结节在数目比较上差异较大,差异有统计学意义(P＜0.05)。甲状腺乳头状癌在形态、边界、回声强度和均匀性、微小钙化、肿大淋巴结与甲状腺良性结节比较,差异有统计学意义(P＜0.05),彩色多普勒超声图显示甲状腺良恶性结节的血流特征分级差异有统计学意义(P＜0.05)。良性肿瘤血流特征分级以0级与1级为主；恶性肿瘤血流特征分级以2级与3级为主。弹性成像图可有效显示病灶良恶性程度。联合超声诊断甲状腺乳头状癌的灵敏度为94.2%,特异度为87.9%。结论 彩色多普勒超声为甲状腺乳头状癌的临床诊断提供影像学信息,结合弹性成像技术可提高对甲状腺乳头状癌的超声诊断准确性。 |
| 英文摘要: |
| Objective To analyze the ultrasonic characteristics and the elastography diagnosis of thyroid papillary carcinoma.Methods The medical records of 45 patients with thyroid papillary carcinoma confirmed by surgery and pathology in our hospital from May 2017 to May 2020 were retrospectively analyzed.The diagnostic value for thyroid papillary carcinoma was discussed by analyzing the characteristics of ultrasound and elastography images and comparing with the pathological results.Results There was a significant difference in the number of thyroid papillary carcinoma and benign thyroid nodules (P＜0.05).There were statistically differences between thyroid papillary carcinoma and benign thyroid nodules in morphology,boundary,echo intensity and uniformity,microcalcification,and enlarged lymph nodes (P＜0.05).Color Doppler ultrasonography showed significant difference in the blood flow characteristic grading between benign and malignant thyroid nodules (P＜0.05).The blood flow characteristics of benign tumors were mainly grade 0-1,and the blood flow characteristics of malignant tumors were mainly grade 2-3.Elastography can effectively show the benign and malignant degree of lesions.The sensitivity and specificity combined ultrasonography in diagnosis of thyroid papillary carcinoma were 94.2% and 87.9%.Conclusions Color Doppler ultrasound can provide much imaging information for the clinical diagnosis of thyroid papillary carcinoma.Combined with elastography,the accuracy of ultrasound diagnosis of thyroid papillary carcinoma can be improved,which has high diagnostic value for the differential diagnosis of thyroid papillary carcinoma and benign nodules. |
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