超声造影在良恶性甲状腺结节诊断中声像图分析.docVIP

超声造影在良恶性甲状腺结节诊断中声像图分析 　　[摘要] 目的 ?Τ?声造影技术在良恶性甲状腺结节诊断中的声像图进行研究分析。 方法 选取2015年1月～2016年2月我院收治的拟行外科手术并获取病理分析的甲状腺结节患者42例，共56个病灶，其中良性病灶与恶性病灶均为28个，将良性病灶设为对照组，恶性病灶设为观察组，对两组病灶进行常规超声与超声造影检查，对两组良恶性结节造影的声像图进行比较与分析。 结果 两组结节的常规超声诊断特征之间存在明显区别；观察组的28个恶性病灶中，环状增强为7.14%，均匀增强为0，不均匀增强为46.43%，向心性为42.86%，弥漫性为3.57%；对照组患者环状增强为39.29%，均匀增强为14.29%，不均匀与向心性增强均为7.14%，弥漫性为32.14%，两组比较，各项超声声像特征均有明显差异，具有统计学意义（P0.05）。 结论 良恶性甲状腺结节的声像特征与其病理学之间存在相关性，良恶性甲状腺结节的声像图都有其各自的特点，通过对肿块形态、内部回声、后方回声、边界与钙化灶及颈部淋巴结的肿大情况进行比较分析，发现超声造影对结节良、恶性的诊断与鉴别具有极其重要的意义与价值，值得在临床上进行广泛推广应用。 　　[关键词] 超声造影；良恶性甲状腺结节；诊断；声像图分析 　　[中图分类号] R736.1 [文献标识码] A [文章编号] 2095-0616（2017）11-170-04 　　Ultrasonographic analysis of contrast-enhanced ultrasound in the diagnosis of benign and malignant thyroid nodules 　　YANG Zhenyu CHEN Peng LAI Zhuqin 　　Department of Ultrasonography， Baoan District Central Hospital， Guangdong， Shenzhen 518102， China 　　[Abstract] Objective To study the contrast-enhanced ultrasound technology in the diagnosis of benign and malignant thyroid nodules. Methods 42 patients with thyroid nodules， a total of 56 lesions with pseudo surgery and the pathological analysis of in our hospital from January 2015 to February 2016 were selected， including 28 benign lesions and 28 malignant lesions. The benign lesions were divided into control group， the malignant lesions were divided into observation group. The lesions in the two groups were using conventional ultrasound and contrast-enhanced ultrasound. Benign and malignant nodules contrast ultrasonographic were compared and analyzed. Results There was a marked difference between the conventional ultrasonographic features of the two sets of nodules. In the 28 malignant lesions of the observation group， the ring enhancement was 7.14%， the homogeneous enhancement was 0， the inhomogeneous enhancement was 46.43%， the centripetal sex was 42.86%， and the diffuse sex was 3.57%. In the control group， the ring enhancement was 39.29%， the homogeneous enhancement was 14.29%， the inhomogeneous and ce