摘要
目的分析超声在甲状腺结节良恶性鉴别中的应用价值。方法对80例甲状腺结节患者,分析其超声特征与病理良恶性的相关性。结果 80例甲状腺结节性病变中,良性病变30例,恶性病变50例。恶性组病灶不完整、边界不清晰、有声晕、低回声、微钙化等发生率分别为36.00%、32.00%、14.00%、54.00%、76.00%,明显高于良性组的6.67%、3.33%、73.33%、20.00%、26.67%,差异有统计学意义（P〈0.05）。良性组患者血流分级0~1级所占比例和血流形态分级Ⅰ~Ⅱ型所占比例均显著高于恶性组,血流分级2~3级所占比例和血流形态分级Ⅲ型~Ⅳ型所占比例均显著低于恶性组,差异具有统计学意义（P〈0.05）;甲状腺结节恶性病变的诊断符合率为86.67%,良性病变的诊断符合率为94.00%。结论在甲状腺结节良恶性鉴别中应用超声检查,具有重要的应用价值,确保较高的临床诊断水平。
Objective To analyze the application value of ultrasonography in the differential diagnosis of benign and malignant thyroid nodule.Methods 80 cases of thyroid nodule,relation between ultrasonography features and benign and malignant pathology were analyzed.Results 30 cases were benign pathology,50 cases were malignant pathology.The rate of lesions not complete,the boundary not clear,audio dizzy,hypoecho,and microcalcification in malignant group were 36.00%,32.00%,14.00%,54.00%,76.00%,which were higher than those of the benign group 6.67%,3.33%,73.33%,20.00%,26.67%（P〈0.05）; The rate of 0 ~ 1 and blood flow pattern classificationⅠ ~ Ⅱin the benign group were higher than those of the malignant group（P〈0.05）; The rate of diagnosis accordance for malignant thyroid nodule lesions was 86.67%,the rate of diagnosis accordance for benign pathology was 94.00%.Conclusion The differential diagnosis of benign and malignant thyroid nodule by ultrasonic has important application value,it can ensure a higher level of clinical diagnosis.
出处
《实用癌症杂志》
2015年第11期1741-1743,共3页
The Practical Journal of Cancer
关键词
超声
甲状腺结节
良恶性
鉴别
Ultrasonic
Thyroid nodule
Benign and malignant
Differential
