甲状腺癌的声像特征分析.pdfVIP

摘 要 甲状腺癌的声像图特征分析 研究生：马慧平 导师：娜迪热·铁列吾汗 副教授 摘 要 目的：分析甲状腺癌的声像图特征，并探讨各超声征象的病理学基础以提高甲 状腺癌术前诊断水平。方法：分析82 例（101 个）甲状腺占位性病灶的声像图特征， 其中甲状腺癌 34 个，甲状腺良性结节67 个，统计各超声征象对甲状腺癌诊断的灵 敏度和特异度。结果：甲状腺癌与甲状腺良性结节比较，在结节数目、形态、边界、 回声强度、回声均匀程度、微小钙化、肿大淋巴结、Ⅲ型血流等方面差异均有统计 学意义；甲状腺癌与甲状腺良性结节比较，在有无发生囊变方面，差异无统计学意 义。各种征象对甲状腺癌诊断的灵敏度和特异度分别是：单发结节（64.71%，67.16% ）、 形态不规则(61.76% ，88.06%) 、边界不清晰(67.65% ，82.09%) 、低回声(85.29% ， 41.79%) 、回声不均匀(79.41%，41.79%)、无囊变（94.12%，8.96% ）、微小钙化(64.71%， 91.04%)、肿大淋巴结（55.89% ，89.55%）、Ⅲ型血流（73.53%，80.60%）。各种征象 综合考虑，超声对于甲状腺癌的灵敏度及特异度分别为82.35%，97.01%。结论：超 声对甲状腺癌的诊断价值较高，是一种非常有效的影像学方法。 关键词：甲状腺癌； 超声； 诊断 —1— 新疆医科大学医学硕士学位论文 The analysis of thyroid carcinoma by sonography Postgraduate: Ma Huiping Supervisor:Nadire.Tieliewuhan associate Professor Abstract Objective: To study the ultrasonographic features and pathological findings of carcinoma of the thyroid to improve the diagnosis of carcinoma of the thyroid. Methods: The clinical data of thyroid lesions were retrospectively analyzed, including 34 cases with carcinoma of the thyroid, 67 cases with benign thyroid nodes. All patients had been performed with thyroid ultrasonography preoperatively, and whose thyroid tissues were pathologically analyzed afterwards. The sensitivity and specificity of ultrasonographic examinations were calculated. Results : Diagnosis by ultrasound ，there is significant statisties variability between the carcinoma of the thyroid and benign thyroid nodes in solitary, irregular shape, ill-defined margins, hypoechoic texture, heterogeneous texture, microcalcifications, metastatic