彩色多普勒超声在甲状腺乳头状癌诊断中应用.docVIP

彩色多普勒超声在甲状腺乳头状癌诊断中应用 　　[摘要] 目的 探讨彩色多普勒超声检查在甲状腺乳头状癌诊断中的临床应用价值。方法 方便选取2014年3月―2016年3月期间来该院就诊经手术病理证实的甲状腺乳头状癌患者（观察组）及甲状腺良性?[瘤患者（对照组）各108例为研究对象，全部给予彩色多普勒超声检查，并对图像特征进行分析。 结果 观察组的诊断准确率为90.74%，声像图表现为以Ⅲ型血流信号为主占70.37%，而对照组以Ⅱ型血流信号为主占69.44%，差异有统计学意义（P0.05）。结论 彩色多普勒超声对甲状腺乳头状癌的诊断准确性高，可以为临床早期诊断及治疗提供重要证据。 　　[关键词] 彩色多普勒超声；甲状腺乳头状癌；诊断 　　[中图分类号] R445.1 [文献标识码] A [文章编号] 1674-0742（2017）01（c）-0180-03 　　Application of Color Doppler Ultrasound in the Diagnosis of the Thyroid Papillary Carcinoma 　　WANG Xiao-ming 　　Department of electrical diagnosis， Changchun Second People’s Hospital， Changchun， Jilin Province， 130062 China 　　[Abstract] Objective To discuss the clinical application value of color Doppler ultrasound in the diagnosis of the thyroid papillary carcinoma. Methods Convenient selection 216 cases of patients with thyroid papillary carcinoma and patients with benign tumor of thyroid proved by the operative pathology in our hospital from March 2014 to March 2016 were selected and divided into the observation group and the control group， and all patients were examined by the color Doppler ultrasound， and the image features were analyzed. Results The diagnosis accuracy rate in the observation group was 90.74%， the sonographic appearance was mostly in Ⅲ flow signals， accounting for 70.37%， and the sonographic appearance was mostly in Ⅱ flow signals in the control group， accounting for 69.44%， and the differences had statistical significance（P0.05）. Conclusion The diagnosis accuracy rate of color Doppler ultrasound in the diagnosis of the thyroid papillary carcinoma is high， which can be used as an important basis for the clinical early diagnosis treatment. 　　[Key words] Color Doppler ultrasound； Thyroid papillary carcinoma； Diagnosis 　　甲状腺乳头状癌是甲状腺恶性肿瘤中最为常见的一种类型，甲状腺乳头状癌的早期发现和诊断对于治疗而言意义重大，而彩色多普勒超声由于具有实用性高、无创、无放射性以及经济等特点易于被患者接受，另外由于该检查方法具有准确性高及特异性好等特点，在甲状腺乳头状癌的诊断中发挥重要作用[1-3]。该研究方便选取2014年3月―2016年3月期间来该院就诊经手术病理证实的甲状腺乳头状癌患者及甲状腺良性肿瘤患者各108例为研究对象，全部给予彩色多普勒超声检查，并对图像特征进行分析，探讨彩色多普勒超声对甲状腺乳头