摘要
目的探讨彩色多普勒超声在甲状腺病灶中鉴别诊断中的价值。方法方便选取2015年1月—2016年12月该院收住的160例甲状腺肿块患者为研究对象,采用二维超声和多普勒超声检查诊断与病理诊断对比评价。结果 160例肿瘤患者,其中病理诊断为良性肿瘤102例,恶性肿瘤58例,两者在内部回声,边界,边缘,声晕,纵横比,有无钙化,血流分布七方面的比较差异有统计学意义(P<0.05)。160例甲状腺肿瘤患者经CDFI检查,可知:102例良性肿瘤中,0级15例,I级68例,II级19例,未见III级血流;58例恶性肿瘤中,0级5例,I级9例,II级22例,III级27例。CDFI不能检测到血流信号可试用CDE,CDE为角度非依赖性,所以探测血流信号较CDFI敏感。结论甲状腺良恶性肿瘤在彩色多普勒超声上有特异性表现可作为鉴别诊断的依据。
Objective To explore the value of color Doppler ultrasonography in the differential diagnosis of thyroid lesions.Methods Convenient selection one hundred and sixty patients with thyroid masses admitted in our hospital from January2015 to December 2016 were selected as the study subjects.Two-dimensional ultrasonography and Doppler ultrasonography were used to evaluate the diagnosis and pathological diagnosis.Results 160 cases of cancer patients,including pathological diagnosis of 102 cases of benign tumors,58 cases of malignant tumors,both in the internal echo,border,edge,sound halo,aspect ratio,with or without calcification,blood flow distribution of seven difference,and the difference was statiscally significant(P<0.05).160 cases of thyroid cancer patients by CDFI examination,we can see:102 cases of benign tumors,0 grade15 cases,68 cases of grade I,grade II 19 cases,no grade III blood flow;58 cases of malignant tumors,0 grade 5 cases,I grade 9 cases,II grade 22 cases,grade III 27 cases.CDFI can not detect the blood flow signal can try CDE,CDE for the angle of non-dependent,so the detection of blood flow signal than CDFI sensitive.Conclusion Thyroid benign and malignant tumors can be used as a basis for differential diagnosis in color Doppler ultrasonography.
出处
《中外医疗》
2017年第13期186-188,共3页
China & Foreign Medical Treatment
关键词
甲状腺肿瘤
超声
彩色多普勒
Thyroid neoplasms
Ultrasound
Color Doppler
