二维超声及彩色多普勒超声对甲状腺微小癌的诊断价值.docVIP

精品论文 参考文献 二维超声及彩色多普勒超声对甲状腺微小癌的诊断价值 浏阳市中医医院 湖南浏阳 410300 【摘 要】目的 探讨二维超声及彩色多普勒超声对甲状腺微小癌的诊断价值。方法 将本院90例甲状腺微小癌病患，随机分为对照组和观察组，各45例，分别给予二维超声检测和二维超声+彩色多普勒超声检测，观察患者甲状腺结节二维超声特征及血流信号情况。结果 对照组诊断符合率为75.56%，观察组为95.56%，差异具有统计学意义Plt;0.01；患者结节内部低回声58例、极低回声22例、高回声10例，A/L（纵横比）ge;1共66例，结节内有微钙化52例，边界模糊、边缘成角等46例，颈部淋巴结肿大22例；观察组结节共52个，血流信号Ⅰ级12个，占23.07%；血流信号Ⅱ级10个，占19.23%；血流信号Ⅲ级30个，占57.69%。结论 联合应用二维超声及彩色多普勒超声对甲状腺微小癌进行诊断，可减少漏诊率，???高患者早期诊断率，值得应用。 【关键词】二维超声；彩色多普勒超声；甲状腺微小癌 [Abstract] objective to study the two-dimensional ultrasound and color doppler flow imaging（cdfi）in diagnosis of thyroid carcinoma.Methods in our hospital 90 cases of thyroid carcinoma patients，randomly divided into control group and observation group，45 cases，were given two dimensional ultrasonic testing and two dimensional ultrasound + color doppler ultrasonic detection，observation of patients with thyroid nodules two-dimensional ultrasonic characteristics and blood flow signal.Results in the control group diagnosis coincidence rate was 75.56%，the observation group was 95.56%，the difference statistically significant（P lt; 0.01；Nodules in patients with internal low echo 58 cases，22 cases of very low echoes，10 cases of high echo，A/L（aspect ratio）1，A total of 66 cases，or nodules with microcalcification 52 cases，fuzzy boundaries，edge Angle，such as 46 cases，cervical lymph node enlargement 22 cases；Observation group nodes，a total of 52，blood flow signals Ⅰ grade 12，23.07%；Blood flow signal Ⅱ level 10，accounting for 19.23%；Blood flow signal Ⅲ level 30，accounting for 57.69%.Conclusion combined use of two dimensional ultrasound and color doppler flow imaging（cdfi）in diagnosis of thyroid carcinoma，and can decrease the missed diagnosis，improve patients early diagnosis rate，is worthy of application. [Key words] two-dimensional ultrasound；Color doppler ultrasound；Thyroid carcinoma 甲状腺微小癌（TMC）是指肿瘤直径小于10mm甲状腺癌，随着医疗技术的发展，超声诊断技术不断提高，已广泛应用于甲状腺癌的检查，提高了甲状腺微小病变诊出率[1]。甲状腺良性占位和甲状腺微小癌在预后和治疗方面有显著的区别，