摘要
目的探讨彩色多普勒超声对甲状腺肿瘤的诊疗价值。方法回顾性分析68例已行彩色多普勒超声检查并已临床确诊的甲状腺肿瘤患者的彩超临床资料,将患者分为结节性甲状腺瘤组20例,甲状腺癌组24例,甲状腺腺瘤组24例。将3组甲状腺肿瘤的回声区特点及肿瘤钙化情况进行分析,并分析比对3组肿瘤患者肿瘤动脉收缩期峰速、舒张末期血流速度及阻力指数。结果彩色多普勒超声显示,甲状腺癌组以高回声团为主,结节性甲状腺瘤组以低回声团为主,甲状腺腺瘤组低回声团与混合回声团出现均等,但3组相比,甲状腺腺瘤组出现混合回声团更多,差异有统计学意义。在钙化情况的比较上,甲状腺癌组主要为微钙化,结节性甲状腺瘤组主要为粗钙化,甲状腺腺瘤组以边缘钙化为主。在收缩期血流峰速及阻力指数的比较上,甲状腺癌组的收缩期血流峰速及阻力指数明显高于结节性甲状腺组及甲状腺腺瘤组,差异有统计学意义,而3组的舒张末期血流速度比较没有明显的差异。结论彩色多普勒超声对甲状腺肿瘤的诊断有重要的价值。
Objective To explore the value of color Doppler ultrasound in the diagnosis of thyroid .Methods Clinical data of 68 thyroid patients received color Doppler ultrasound were retrospectively analyzed ,Patients were divided into 20 cases of nodular thyroid tumor ,24 cases of thyroid cancer , and 24 cases of thyroid adenoma .Thyroid tumors echo area and calcification characteristics of the 3 groups were analyzed ,and tumor artery peak systolic velocity ,end diastolic velocity and resistive index were compared .Results Color Doppler ultrasound showed that thyroid cancer was mainly hyperechoic echo , nodular thyroid tumor was mainly hypoechoic echo ,and thyroid adenoma was mainly hypoechoic echo and mix echo equally .Of the 3 groups,thy-roid adenoma had more mixed echo ,there was statistical difference .And as to the calcification ,thyroid cancer was mainly micro-calcification ,nodular thyroid tumor was mainly coarse calcifications ,thyroid adenoma was mainly calcification of the edge .Compar-ison of the systolic peak velocity and resistive index of the 3 groups ,thyroid cancer was higher than thyroid adenoma and nodular thyroid tumor.The difference was statistically significant .There was no obvious difference among the 3 groups in end diastolic ve-locity.Conclusion Color Doppler ultrasound in the diagnosis of thyroid cancer has significant value .
出处
《实用癌症杂志》
2014年第8期969-971,974,共4页
The Practical Journal of Cancer
基金
四川省都江堰市卫生局基金(ws201823)
关键词
彩色多普勒超声
甲状腺癌
甲状腺腺瘤
结节性甲状腺瘤
Color Doppler ultrasound
Thyroid tumor
Thyroid cancer .thyroid adenoma
Nodular thyroid tumor
