彩色多普勒超声在甲状腺结节诊断中应用.docVIP

彩色多普勒超声在甲状腺结节诊断中应用 　　[摘要] 目的 探讨彩色多普勒超声在甲状腺结节诊断中的应用价值，提高甲状腺结节的超声诊断符合率。 方法 整群选取并回顾性分析2013年1月―2015年1月该院收治检查的91例甲状腺结节患者临床资料，并与手术病理结果进行对照观察，计算彩色多普勒超声对甲状腺结节的诊断符合率，并比较超声资料。 结果 与手术病理组比较，彩色多普勒超声结果对甲状腺良性结节诊断率为72.3%，对甲状腺恶性结节的诊断率为25.8%；根据病理分组后超声资料比较结果可知，彩色多普勒超声检查对良性、恶性甲状腺结节的边界、回声强度、钙化特点及血流分部情况的比较差异有统计学意义（P0.05）。 结论 提高甲状腺结节的早期诊断水平，对降低病死率、提高生存率和生存质量、选择手术时机及预后都有重要意义。 　　[关键词] 彩色多普勒超声；甲状腺结节；诊断 　　[中图分类号] R445.1 [文献标识码] A [文章编号] 1674-0742（2015）12（c）-0187-02 　　Application of Color Doppler Ultrasound in Diagnosis of Thyroid Nodules 　　ZHANG Guo-wei 　　Department of Electrical diagnosis， Changchun Central Hospital，Changchun， Jilin Province，130051 China 　　[Abstract] Objective To discuss the application value of color Doppler ultrasound in diagnosis of thyroid nodules and improve the ultrasound diagnosis accordance rate of thyroid nodules. Methods The clinical data of 91 cases of patients with thyroid nodules receiving examination in our hospital from January 2013 to January 2015 were retrospectively analyzed， and were observed compared with surgical pathologic results， the accordance rate of color Doppler ultrasound in diagnosis of thyroid nodules was calculated and the ultrasound data were compared. Results Compared with the surgical pathologic group， the diagnostic rate of color Doppler ultrasound results for benign thyroid nodules was 72.3% and for malignant thyroid nodules was 25.8%， after pathological grouping， the comparative results of ultrasound data showed that there were obvious differences in the periphery， echo intensity， calcification characteristics and blood flow distribution of benign and malignant thyroid nodules examined by color Doppler ultrasound（P0.05）. Conclusion Improving the early diagnostic level of thyroid nodules is of important significance to decrease the case fatality rate， improve the survival rate and survival quality and select the surgery opportunity. 　　[Key words] Color Doppler ultrasound； Thyroid nodule； Diagnosis 　　甲状腺结节为临床常见病症，是指甲状腺内出现的肿块，可随吞咽