摘要
目的探讨超声对甲状腺恶性结节中钙化特征的诊断价值。方法回顾性分析80例甲状腺良性结节患者和80例甲状腺恶性结节患者的病历资料,对甲状腺良恶性结节患者钙化病灶检出情况及钙化病灶特征进行比较。结果甲状腺恶性结节和甲状腺良性结节患者的钙化病灶检出率分别为46.25%、18.75%,差异有统计学意义(P﹤0.01)。甲状腺恶性结节患者的Ⅰ型钙化病灶所占比例明显高于甲状腺良性结节患者,Ⅲ型钙化病灶所占比例明显低于甲状腺良性结节患者,差异均有统计学意义(P﹤0.01);甲状腺恶性结节患者的Ⅱ型钙化病灶所占比例与甲状腺良性结节患者比较,差异无统计学意义(P﹥0.05)。结论甲状腺恶性结节的钙化病灶检出率较高,且主要为Ⅰ型钙化病灶,该特征有助于临床超声检查对甲状腺结节进行鉴别诊断。
Objective To explore the value of ultrasonography in the diagnosis of calcification in malignant thyroid nodules. Method Eighty patients with benign or malignant thyroid nodules were included in the analysis, and the detection of calcification as well as the feature of calcifications of the two groups were compared. Result The detection rates of calcified lesions in patients with malignant and benign thyroid nodules were 46.25% and 18.75%, respectively, and the difference was statistically significant (P<0.01). The proportion of type I calcified lesions in patients with malignant thyroid nodules was significantly higher than that in patients with benign ones, while the proportion of type III calcifications was significantly lower than that of benign thyroid nodules (P<0.01). There was no significant difference in the proportion of type II calcifications among these patients (P>0.05). Conclusion The detection rate of calcified lesions of malignant thyroid nodules is high, which are mainly type I calcifications, and this is helpful for the differential diagnosis of thyroid nodules by clinical ultrasonography.
作者
赵月娥
迟娇
甘连州
ZHAO Yue’e;CHI Jiao;GAN Lianzhou(Department of Ultrasonography,Hainan Hospital of Traditional Chinese Medicine, Haikou 570203, Hainan, China;Department of General Surgery, Hainan Hospital of Traditional Chinese Medicine, Haikou 570203, Hainan, China)
出处
《癌症进展》
2019年第3期318-320,共3页
Oncology Progress
关键词
甲状腺癌
钙化
超声
良性结节
thyroid cancer
calcification
ultrasound
benign nodule
