彩色多普勒超声在甲状腺癌临床诊断中价值.docVIP

彩色多普勒超声在甲状腺癌临床诊断中价值 　　[摘要] 目的 探讨彩色多普勒超声在甲状腺癌临床诊断中的价值。 方法 选取来本院就诊的甲状腺癌疑似患者147例，全部给予彩色多普勒超声检查（观察组）和核素显像检查（对照组），最后均经病理学诊断验证，比较两种诊断方法的准确度、灵敏度等。 结果 经病理证实，彩色多普勒超声诊断准确率达88.43%，显著高于核素显像检查（P0.05）；甲状腺癌患者较良性腺瘤患者肿块内血流更丰富，肿块形态更为不规则、边界更加不清晰、内部回声更低、钙化灶更多。 结论 彩色多普勒超声在甲状腺癌的临床诊断中具有重要意义，不仅准确率高，而且能通过成像图特征准确判定疾病状态，对临床诊断工作有重要作用，值得临床推广应用。 　　[关键词] 彩色多普勒超声；甲状腺癌；诊断价值 　　[中图分类号] R736.1 [文献标识码] A [文章编号] 1674-4721（2015）02（b）-0103-03 　　The value of color Doppler ultrasound in the clinical diagnosis of thyroid cancer 　　WU Xiao-ying 　　Department of Electrical Diagnosis，People′s Hospital of Changchun City， Changchun 130051，China 　　[Abstract] Objective To investigate the value of color Doppler ultrasound in the clinical diagnosis of thyroid cancer. Methods 147 patients with suspected thyroid cancer treated in our hospital were selected.Color Doppler ultrasound （the observation group） and radionuclide imaging examination （the control group） were taken in all patients，which finally were verified by pathology diagnosis.The accuracy，sensitivity，etc. of the two diagnostic methods were compared. Results After confirming by pathology diagnosis，the diagnostic accuracy rate of color Doppler ultrasound was 88.43%， which was higher than that of radionuclide imaging examination （P0.05）. Ultrasound imaging map feature was analyzed，and it showed that，compared with benign adenoma，in thyroid cancer，blood flow within tumors were richer，tumor morphology were more irregular，boundary was more not clear，internal echo was lower，calcification was more. Conclusion Color Doppler ultrasound is important in the diagnosis of thyroid cancer.It not only has high diagnostic accuracy，but also can determine the disease status by the features of image，so it plays an important role in clinical diagnostic work of thyroid cancer and is worthy of promotion and application in clinic. 　　[Key words] Color Doppler ultrasound；Thyroid cancer；Diagnosis value 　　甲状腺癌是源于甲状腺上皮细胞的常见甲状腺恶性肿瘤之一，发病率约占全身恶性肿瘤的1%，在临床上常采用彩色多普勒超声检查，其能有效提高对甲状腺癌临床诊断的