超声检查甲状腺结节钙化及微钙化对甲状腺癌鉴别诊断临床意义.docVIP

超声检查甲状腺结节钙化及微钙化对甲状腺癌鉴别诊断临床意义 　　[摘要] 目的 探讨超声检查对甲状腺结节钙化和微钙化检查的临床意义。方法 回顾性分析甲状腺结节患者121例的病理结果及超声检查结果，分析钙化和微钙化对判断甲状腺结节良恶性的意义。 结果 检测出钙化的患者32例，其中9例为恶性，占28.1%；无钙化的患者共89例，其中恶性2例，占2.2%，两组比较，差异有统计学意义（P＜0.01）。微钙化共21例，其中8例为恶性，占38.1%，粗钙化共11例，其中1例为恶性，占9.1%，两组比较差异有统计学意义（P＜0.01）。 结论 超声检查甲状腺结节钙化，尤其是微钙化，对鉴别诊断甲状腺结节的良恶性具有一定的指导意义。 　　[关键词] 超声；甲状腺结节；钙化；微钙化；甲状腺癌 　　[中图分类号] R445.1；R736.1[文献标识码] B[文章编号] 1673-9701（2014）16-0085-02 　　 　　Clinical significance of ultrasound in diagnosis of thyroid nodule calcification and microcalcification 　　ZENG Qunying 　　Ultrasound Room of Suichuan County Peoples Hospital， Suichuan 343900，China 　　[Abstract] Objective To discuss clinical significanc of ultrasound in diagnosis of thyroid nodule calcification and microcalcification. Methods Selected 121 cases with thyroid nodule were retrospective analyzed.Clinical significance ofcalcification and microcalcification in differential diagnosis of benign and m alignant nodules were analyzed. Results 32 cases showed calcification detected by ultrasound. Among them， 9 cases were m alignant，accounted for 28.1%. Among 89 cases without calcification，2 cases were m alignant，accounted for 2.2%. There were significant differences between two groups（P＜0.01）. Among 21 cases with microcalcification，8 cases were m alignant， accounted for 38.1%. Among 11 cases with coarser calcification，1 case was m alignant，accounted for 9.1%. There were significant differences between two groups（P＜0.01）. Conclusion Ultrasound for thyroid nodule calcification， especially microcalcification， shows significance in differential diagnosis of benign and m alignant nodules. 　　[Key words] Ultrasound; Thyroid nodule; Calcification; Microcalcification; Thyroid cancer甲状腺结节是临床常见病，大约有4%的成年人会发生甲状腺结节。甲状腺结节分为良性和恶性，术前难以鉴别，彩超是检查甲状腺结节的主要方法，具有无创、简便等优点。甲状腺结节钙化对于鉴别诊断甲状腺结节良恶性具有一定的临床意义[1-2]，根据钙化直径，又分为微钙化和粗钙化。本研究主要探讨超声检查甲状腺结节钙化和微钙化在甲状腺结节良恶性鉴别诊断中的临床意义，现报道如下。 　　 　　1资料与方法 　　1.1一般资料 　　回顾性分析2010年1月～2013年1月在我院诊断治疗的甲状腺结节患者121例的临床资料。所选对象临床资料完善，术前均行彩超检查，术后病理明确诊断。其中