超聲对97例甲状腺微小癌的诊断分析.docVIP

超声对97例甲状腺微小癌的诊断分析 【摘要】目的 探究甲状腺微小癌的超声影像特点及应用价值。方法 对我院2010年1月至2014年6月收治的97例甲状腺微小癌患者（122个癌结节）的超声诊断表现进行回顾性分析，并将其设为观察组，同时纳入100例同期被证实为良性结节患者（120个良性结节）设为对照组，对两组患者的超声影像特点进行比较。结果 观察组前后径与横径比≥1、淋巴结血流丰富、低回声、微小钙化等超声表现率，均显著高于对照组患者，差异均有统计学意义（P0.05）；超声对97例甲状腺微小癌患者的诊断灵敏度、特异度、阳性预测值、阴性预测值分别为86.89%、83.33%、84.13%、86.21%。结论 超声对甲状腺微小癌的敏感性高，有较准确的诊断率，具有重要的临床诊断及鉴别意义。 【关键词】甲状腺微小癌；超声影像；诊断；甲状腺结节 The diagnostic analysis of ultrasonography on 97 cases of patients with thyroid microcarcinoma [Abstract] Objective:To investigate the image?features of ultrasound of thyroid microcarcinoma and application value. Methods: The clinical data of 97 cases of patients with thyroid microcarcinoma (122 thyroid microcarcinoma nodules) were retrospectively analyzed from January 2010 to June 2014 in our hospital, and set it as observation group.At the same time,100 patients with benign nodule(120 benign nodules)were set as control group. The image?features of ultrasound of two groups were compared. Results: The ultrasound finding rate of aspect ratio≥1,rich blood,hypoecho,microcalcification of the observation group were all significantly higher than those of the control group, the differences were all statistically significant(P0.05). The diagnostic sensitivity, specificity, positive predictive value and negative predictive value of ultrasonography on patients with thyroid microcarcinoma was 86.89%,83.33%,84.13%,86.21% respectively.Conclusion: Ultrasonography has higher sensitiveness to diagnosis of thyroid microcarcinoma, and it has a accurate diagnostic rate, which is important in the diagnosis and differential diagnosis. [key words] thyroid microcarcinoma;ultrasonography;diagnosis;thyroid?nodule 随着现代高分辨率超声影像技术的发展，甲状腺癌的检出率不断提高，成为内分泌系统最常见的肿瘤疾病之一，占全身恶性肿瘤的1%左右[1]。而甲状腺微小癌（thyroidmicrocarcinoma，TMC）则是肿瘤直径≤10mm的甲状腺癌，该类患者的临床症状不明显，部分患者的原发病灶大小虽未发生改变，但往往已经向未分化癌转化，且甲状腺微小癌常与甲状腺良性占位并存，具有较高的漏诊率与误诊率[2]。目前，高频彩超是临床上甲状腺癌检出与诊断的首选影像学方法，无创、可重复动态观察甲状腺肿瘤形态与结构，且可对3mm的甲状腺肿块进行清晰地辨别，这对改善甲状腺微小癌患者的诊断质量具有重要的意义[3]。本研究通过对我院收治的97例甲状腺微小癌患者的