彩色多普勒超声对32例甲状腺癌临床诊断价值研究.docVIP

彩色多普勒超声对32例甲状腺癌临床诊断价值研究[摘要] 目的 探讨彩色多普勒超声诊断甲状腺癌超声声像图特征情况及血流信号检测情况。方法 选择2005年12月～2008年12月我院就诊的甲状腺癌患者32例,分析甲状腺癌的声像图表现,及超声诊断数与病理诊断符合率及血流信号检测情况。结果 甲状腺癌的病理、手术对照完全符合病例是29例,超声诊断符合率为90.63%。32例甲状腺癌的声像图表现为低回声结节,病变边界不整,或欠规则,内部结构较周围甲状腺组织致密,砂砾样钙化,后方回声衰减。结论 应用彩色多普勒观察癌症病灶周围及其内部的血流情况,对甲状腺癌的诊断具有重要的临床价值。 [关键词] 彩色多普勒超声; 甲状腺癌; RI [中图分类号] R581.3 [文献标识码] A [文章编号] 1673-9701(2010)05-15-02 Color Doppler Ultrasound for Diagnosis of Thyroid Cancer:An Analysis of Clinical Value of 32 Cases HUANG Shihai Department of Ultrasound,the First People’s Hospital of Chaohu City,Chaohu 238000,China [Abstract] ObjectiveTo evaluate the color Doppler ultrasonographic characteristics of thyroid cancer and its blood flow signal detection. MethodsWe selected 32 cases of thyroid cancer treated in our hospital from Dec. 2005 to Dec. 2008 and analyzed the sonographic characteristics of thyroid cancer and the coincidence rate between the ultrasound diagnosis and pathologic diagnosis as well as the blood flow signal detection. ResultsThe results of the pathology of thyroid cancer were in full compliance with surgical control cases in 29 cases,with the ultrasound diagnostic coincidence rate of 90.63%. The sonography of 32 cases of thyroid cancer showed hypoechoic nodule,irregular lesion boundary,denser internal structure than the surrounding thyroid tissue,gravel-like calcification and subdued rear echo. ConclusionIt is of great clinical value in the diagnosis of thyroid cancer by using color Doppler to observe the cancer lesion and its internal blood flow. [Key words]Color Doppler ultrasound; Thyroid cancer; RI 近年来,随着彩色多普勒技术的应用,为甲状腺癌的诊断及鉴别诊断提供了详实、可靠的信息。应用彩色多普勒观察癌症病灶周围及其内部的血流情况,对甲状腺癌的诊断具有重要的价值。本文选择2005年12月～2008年12月我院就诊的甲状腺癌患者32例,分析甲状腺癌的声像图表现,及超声诊断数与病理诊断符合率及血流信号检测情况,现报道如下。 1 资料与方法 1.1 一般资料 选择2005年12月～2008年12月我院就诊的甲状腺癌患者32例,其中男22例,女10例。年龄18～70岁,平均45.5岁。病程2个月～3年。 1.2 仪器与方法 采用东软 NAS-2000a及SonoScape SSI-6000彩色多普勒超声诊断仪,探头频率7.5～10MHz。 患者取仰卧位,充分暴露颈部,超声检查时行纵切、横切、斜切,详细探测肿瘤的部位,距离甲状腺上下动