高频彩色多普勒超声诊断甲状腺微灶癌临床价值.docVIP

高频彩色多普勒超声诊断甲状腺微灶癌临床价值 　　【摘要】 目的：分析并研究高频彩色多普勒超声诊断甲状腺微灶癌的临床价值，从而为临床诊断提供依据和指导。方法：依据纳入排除标准共选取96例经手术或病理分析证实的甲状腺微灶癌患者作为临床研究对象，对其进行高频彩色多普勒超声检查，分析其超声声像图、超声表现和超声诊断结果。结果：高频彩色多普勒超声诊断正确率为95.8%；癌变的性质主要为乳头状癌、滤泡状癌、腺瘤等，分别占31.3%、27.1%、21.9%；声像图特点显现出肿块直径均小于1.0 cm，甲状腺内部回声多不均匀且较低落，28.1%的患者伴随有颈部淋巴结的转移；80.2%的患者癌结节病灶中的血流较为丰富且杂乱无章，其余患者血流信号中等或者稀疏。结论：高频彩色多普勒超声对甲状腺微灶癌的诊断价值较高，既可早期发现癌性结节，得到早期治疗，又可提高癌性结节的诊断率，从而显著提高治疗有效率，值得临床推广使用。 　　【关键词】 高频彩色多普勒超声； 甲状腺微灶癌； 临床价值 　　中图分类号 R736.1 文献标识码 A 文章编号 1674-6805（2015）10-0003-03 　　【Abstract】 Objective：To analyze and research the clinical value of high frequency color Doppler ultrasound on diagnosing thyroid micro-carcinoma，in order to provide clinical diagnosis basis and guidance.Method：According to inclusion and exclusion criteria，96 thyroid micro-carcinoma patients who were diagnoses by operation and pathology，they were examined by high frequency color Doppler ultrasound，analyzed their ultra-sound imaging，ultra-sound expression and ultra-sound diagnosis.Result：The diagnosis accuracy rate of high frequency color Doppler ultrasound was 95.8%.The properties of cancer were papillo-carcinoma，le carcinome folliculaire，adenoma，they accounted for 31.3%，27.1%，21.9%.The features of acoustic image showed that the diameter of tumor was less than 1.0 cm，reverberation of thyroid interior was not equality and let droop，there were 28.1% patients had cervical lymph node transform.80.2% patients’ bleeding volume of cancerous tubercle carcinomatous was rich and irregular，other patients’ signal of blood flow was middle and sparse.Conclusion：High frequency color Doppler ultrasound has a high diagnosis value on diagnosing thyroid micro-carcinoma，it can find cancerous early and improve the diagnosis rate，so as to improve the effective curative effect，it is worthy of promotion in clinical. 　　【Key words】 High frequency color Doppler ultrasound； Thyroid micro-carcinoma； Clinical value 　　First-author’s address：The Fifth People’s Hospital of Shanghai City，Shanghai 200240，China