常规体检高频超声对甲状腺结节的检出和甲状腺癌的诊断价值.docVIP

常规体检高频超声对甲状腺结节的检出和甲状腺癌的诊断价值 　　[摘要] 目的 探讨常规体检高频超声对甲状腺结节的检出和甲状腺癌的临床诊断价值。 方法 分析15 626例常规体检高频超声的甲状腺声像图特点，观察甲状腺的大小、回声、肿块病变范围、形态、纵横比、边界、内部回声，彩色血流情况，对可疑者追踪其手术病理结果。 结果 2011～2012年常规体检高频超声检出甲状腺结节6191例，检出率为39.62%，可疑甲状腺癌193例，占结节检出人数的3.12%；手术病理证实甲状腺癌182例，诊断准确率为94.3%。 结论 常规体检高频超声对甲状腺结节的检出、结节良恶性半定性或定判断具有重要的临床价值。 　　[关键词] 常规体检；高频超声；甲状腺结节；甲状腺癌 　　[中图分类号] R445.1 [文献标识码] A [文章编号] 1674-4721（2014）04（a）-0119-03 　　[Abstract] Objective To discuss the clinical diagnostic value of high-frequency ultrasound for the detection of thyroid nodule and thyroid cancer in routine physical examination. Methods Sonographic characteristics of thyroid of high-frequency ultrasound in 15 626 cases in routine physical examination were analyzed，the size，echo，lump pathological scope，shape，aspect ratio，border，internal echo of thyroid，and color flow were obsrved，the operation pathological results were tracked for the suspicious persons. Results Thyroid nodules in 6191 cases were detected with high-frequency ultrasound in routine physical examination from 2011 to 2012，and the detection rate was 39.62%，among them there were 193 cases of suspicious thyroid cancer，it accounted for 3.12% of the number of people whose nodule detected；182 cases were confirmed as thyroid cancer by surgery and pathology，and the accurate rate of diagnosis was 94.3%. Conclusion High-frequency ultrasound has important clinical value of the detection of thyroid nodule and semi quantitative or qualitative judgement of malignant and benign nodule. 　　[Key words] Routine physical examination；High-frequency ultrasound；Thyroid nodule；Thyroid cancer 　　近年来，健康体检日益受到各级医疗机构和全社会的广泛重视。各级医院基本都设置了查体中心，配置了相应人员、设备。彩超作为一种发展迅速的医学影像检查工具，具有普及率高、收费低廉、无创等优势，已经成为疾病诊断及健康体检中的重要检查项目，而高频超声的普及以及超声医师对甲状腺结节及甲状腺癌认识的不断提高，使许多甲状腺疾病在早期即被发现，尤其对于甲状腺微小癌的检出优势是其他影像检查所无法媲美的。本研究就2011～2012年来本院进行健康体检的15 626例行高频超声甲状腺检查检出甲状腺结节、可疑甲状腺癌的病例进行回顾性分析。 　　1 资料与方法 　　1.1 一般资料 　　常规体检人群均为本院职工，市人民医院职工，本地区行政、事业、企业单位职工15 626人，时间为2011年1月1日～2012年12月31日，其中男6413人，女9213人，男女之比为1∶1.44，年龄18～81岁，平均40