彩色多普勒超声检查在甲状腺结节中诊断价值.docVIP

彩色多普勒超声检查在甲状腺结节中诊断价值 　　[摘要]目的 探?彩色多普勒超声检查在鉴别甲状腺结节良恶性中的诊断价值。方法 选取笔者所在医院超声科2014年6月～2016年12月收治的126例甲状腺结节患者作为研究对象，所有患者术前均行彩色多普勒超声诊断，术后经病理确诊，其中良性肿瘤（良性组）85例，包括甲状腺瘤 51 例，甲状腺肿 34 例；甲状腺癌（恶性组） 41例。比较两组超声诊断符合率，观察患者甲状腺结节的彩色超声检查图像结果。记录血流阻力指数（RI）、舒张末期血流速度（EDV）、收缩期峰值血流速度（PSV）。结果 经彩色多普勒超声检查，甲状腺良性结节超声诊断符合率为 87.06%，甲状腺恶性结节超声诊断符合率为85.37%，两组比较差异无统计学意义（P0.05），恶性组在纵径/横径、边界形态不规则、低回声、钙化比例均显著高于良性组，具有显著差异（P0.05）。比较两组彩色多普勒超声血流分布，恶性组PSV、RI 均明显高于良性组患者，而EDV 则显著低于良性组，差异均有统计学意义（P0.05）。结论 彩色多谱勒超声检查是一种高效、无创，可反复性高的检查，通过对甲状腺结节的超声图像特征的分析，其对甲状腺结节的良恶性的鉴别诊断有一定的临床价值，值得临床推广应用。 　　[关键词]彩色多普勒超声；甲状腺癌；甲状腺瘤；阻力指数；钙化 　　[中图分类号] R445.1 [文献标识码] A [文章编号] 2095-0616（2017）11-173-03 　　The diagnostic value of color doppler ultrasonography in the diagnosis of benign and malignant thyroid nodules 　　SHEN Jing 　　Ultrasonography Department， Kuancheng County Hospital， Kuancheng 067600， China 　　[Abstract] Objective To investigate the value of color doppler ultrasonography in the differential diagnosis of benign and malignant thyroid nodules. Methods 126 patients with thyroid nodules admitted to the department of ultrasound in our hospital from June 2014 to December 2016 were selected as the subjects. They were pathologically diagnosed， including 85 cases of benign tumors（the benign group， with 51 cases of thyroid adenoma and 34 cases of goiter）， and 41 cases of thyroid cancer （the malignant group）.The diagnostic accuracy of the two groups was compared. The location， shape， size， border， internal echo， micro calcification and blood flow distribution of the thyroid nodules were observed. The blood pressure resistance index（RI）， end diastolic blood flow velocity（EDV） and systolic peak blood flow velocity（PSV） were recorded. Results the diagnostic accuracy rate of ultrasonography in thyroid benign nodules was 87.06% by color Doppler ultrasonography. The coincidence rate of ultrasound diagnosis of thyroid malignant nodules was 85.37. The difference between the two groups was not statistically significant（P0.05）.The malignant gr