甲状腺微小乳头状癌的MRI术前评估分期与术后病理对照研究.docVIP

甲状腺微小乳头状癌的MRI术前评估分期与术后病理对照研究 　　【摘要】 目的：分析甲状腺微小乳头状癌的MRI术前评估分期与术后病理对照。方法：选取于2012年 　　9月-2014年9月在本院治疗的甲状腺微小乳头状癌患者59例作为观察组，选取同期入院体检正常者 　　30例作为对照组，分析两组患者MRI颈静脉造影血液动力学改变情况。结果：观察组的血管内径、血流量参数较对照组低，平均血流速度较对照组快，差异均有统计学意义（P0.05）。结论：加强MRI颈静脉造影血液动力学改变在甲状腺微小乳头状癌预测中的应用，能够了解患者疾病发展情况，对临床确定手术方案具有较高的应用价值。 　　【关键词】 甲状腺微小乳头状癌； 颈静脉造影血液动力学； 预后发展 　　【Abstract】 Objective：To analyze pathologic control over preoperative staging assessment and postoperative staging of pre-operative MRI thyroid papillary carcinoma.Method：Fifty nine patients with thyroid papillary carcinoma treated in our hospital from September 2012 to September 2014 were divided into the observation group，and 30 subjects confirmed to be normal via physical examination were divided into the control group，and the changes in MRI jugular vein angiography hemodynamics of patients in two groups were analyzed.Result：Internal vessel diameters and blood flow parameters of patients in the observation group were lower than those of patients in the control group，while average blood flow rate of patients in the observation group was faster than that of patients in the control group，and the differences were statistically significant （P0.05）.Conclusion：Enhanced application of changes in MRI jugular vein angiography hemodynamics of patients with thyroid papillary carcinoma forecast may understand development conditions of diseases，casting high value clinically applied in determining the operation solution. 　　【Key words】 Thyroid papillary carcinoma； Jugular vein angiography hemodynamics； Prognosis development 　　First-author’s address：Meizhou Hospital Affiliated of Sun Yat-Sen University，Meizhou 514031，China 　　doi：10.3969/j.issn.1674-4985.2016.14.020 　　甲状腺微小乳头状癌是临床常见的疾病之一，目前，该疾病的发病机制尚不明确[1]。甲状腺微小乳头状癌患者发病初期临床症状并不明确，然而随着疾病的发展，患者出现多种并发症状，例如：颈痛、胸部水肿等症状，直接影响着患者的预后治疗效果[2-3]。有研究表明，甲状腺微小乳头状癌患者病情发展与MRI颈静脉造影血液动力学存在直接关系[4]。基于此，本文对本院近两年甲状腺微小乳头状癌患者的MRI颈静脉造影血液动力学改变情况进行分析，现报道如下。 　　1 资料与方法 　　1.1 一般资料 选取2012年9月-2014年9月在本院手术治疗的甲状腺微小乳头状癌患者59例作为观察组，其中男