超声造影联合常规超声诊断甲状腺微小乳头癌的临床诊断价值.docVIP

超声造影联合常规超声诊断甲状腺微小乳头癌的临床诊断价值 　　[摘要] 目的 探究与分析超声造影联合常规超声诊断甲状腺微小乳头癌的临床效果。 方法 随机选取并回顾性分析该院自2013年9月―2015年9月收治的80例甲状腺微小乳头状癌患者的临床资料，该组患者共162个结节，术前给予患者常规超声及超声造影检查，并记录了检查结果，将术后病理切片并与术前检查结果进行对比，对比与分析超声造影特点与声像图表现。 结果 经过术后病理学检测，80例患者中行超声造影联合常规超声术前诊断准确率为87.50%（70/80），其中35例患者合并发生淋巴结转移，转移率为43.75%，经过超声检测可见全部患者共有155个甲状腺微小乳头状癌结节。甲状腺微小乳头状癌结节与正常甲状腺组织相比始增时间显著延长，峰值时间明显缩短， 差异有统计学意义（P0.05）。 结论 采用超声造影联合常规超声诊断甲状腺微小乳头状癌的临床效果较为显著，具有较高的可行性，可同时对甲状腺结节及周围甲状腺组织进行对比，可作为一种理想诊断方法应用于临床工作中。 　　[Abstract] Objective To explore and analyze the clinical effect of contrast-enhanced ultrasound combined with conventional ultrasound in the diagnosis of papillary thyroid microcarcinoma. Methods A retrospective analysis was conducted on the clinical data of 80 cases with papillary thyroid microcarcinoma（162 nodules） admitted in our hospital from September 2013 to September 2015. Before surgery， the patients underwent the contrast-enhanced ultrasound and conventional ultrasound. And the test results were recorded and compared with the postoperative pathological results. The manifestations of the contrast-enhanced ultrasound and sonogram were compared and analyzed. Results The results of postoperative pathological examination showed that， the accuracy of contrast-enhanced ultrasound and conventional ultrasound in the diagnosis of the 80 cases was 87.50%（70/80）. 35 cases were complicated by lymphatic metastasis， the metastatic rate was 43.75%. A total of 155 nodules of papillary thyroid carcinoma were found in all the patients by the ultrasonic test. The initiation time of enhancement was more prolonged and the peak time was much shorter in the nodules of papillary thyroid carcinoma than in the normal thyroid tissue with statistically significant difference （P0.05）. Conclusion Contrast-enhanced ultrasound combined with conventional ultrasound has significant clinical effect in the treatment of papillary thyroid microcarcinoma with high feasibility and this diagnosis can compare the thyroid nodule and peripheral