摘要
目的 旨在探讨不同分型钙化在甲状腺结节超声诊断中的应用价值,以期为超声诊断甲状腺结节的良、恶性提供更多的参考。方法 选取2011年2月-2016年5月收治的160例甲状腺结节有钙化且行临床手术治疗的患者为研究资料,并对上述患者术前予以超声诊断,术后对上述患者的石蜡切片检查,分析良、恶性甲状腺肿瘤钙化特点。结果 160例患者术后病理证实：良性48例,其中甲状腺腺瘤30例,甲状腺肿18例;恶性112例,其中乳头状癌88例,滤泡癌16例,髓样癌4例,未分化癌3例,淋巴瘤1例;与临床手术病理结果对比,恶性甲状腺肿瘤超声诊断符合率高达100%;Ⅰ型、Ⅱ型的良、恶钙化超声分型比较,差异有统计学意义（P〈0.05）,而Ⅲ型良、恶钙化超声分型比较,差异无统计学意义（P〉0.05）。结论 甲状腺结节微钙化在超声诊断中可准确提示甲状腺癌;因此,可将结节微钙化作为甲状腺癌鉴别的重要依据。
Objective To explore the application value of different types of calcification in the ultrasound diagnosis of thyroid nodules and to further provide reference for the diagnosis of benign and malignant thyroid nodules. Methods A total of 160 cases of thyroid nodules with calcification and treated by clinical surgery from February 2011 to May 2016 were selected as research data. Ultrasound diagnosis was completed before surgery and paraffin section examina- tion was completed after surgery to analyze the calcification of benign and malignant thyroid tumor. Results The results of the 160 cases with postoperative pathology： 48 cases were benign among which 30 cases were thyroid adenoma and 18 cases were malignant goiter; 112 cases were malignant among which 88 cases were papillary carcinoma, 16 cases were follicular carcinoma, 4 cases were medullary carcinoma, 3 cases were undifferentiated carcinoma and 1 case was lymphoma. The coincidence rate of ultrasound diagnosis of malignant thyroid tumors was as high as 100% compared with the pathological results. The differences of type I uhrasound classification, type II benign and malignant calcification were significant （P〈0.05）. However, there was no significant difference （P〉0.05） between the ultrasound classification of Type III benign and malignant calcification. Conclusion The thyroid carcinoma can be accurately diagnosed by thyroid nodule micro＇calcification through ultrasound. Therefore, the nodule micro-calcification can be used as an important basis for the identification of thyroid carcinoma.
出处
《中国现代医生》
2016年第30期96-99,共4页
China Modern Doctor
基金
浙江省医药卫生计划项目(2011KYA123)
关键词
甲状腺结节
超声
病理
钙化
Thyroid nodule
Ultrasonography
Pathology
Calcification
