摘要
目的探讨恶性甲状腺结节超声征象及分型特征。方法选取102例恶性甲状腺结节患者为研究对象,共183个结节;选取32例良性甲状腺结节患者作为对照研究,共67个结节。观察记录患者的一般病理特征,分析患者年龄、性别与恶性甲状腺结节的关系,观察记录患者超声诊断征象,分析患者超声诊断分型及病理类型特征等情况。结果年龄在60岁以下的甲状腺结节患者其结节为恶性的可能性要大于年龄≥61岁的患者;女性甲状腺结节患者其结节为恶性的可能性要小于男性患者;良恶性甲状腺结节患者在结节周边组织回声和大小两方面差异无统计学意义(P>0. 05),在结节后方回声情况、是否伴胶质、钙化情况、包膜是否受侵、边缘、边界、纵横比、形态和数目方面差异有统计学意义(P <0. 05);各项主要超声诊断指标中,边缘不光整灵敏度高,但是其余指标阳性预测值和特异度均较高。甲状腺结节Ⅵ型恶性风险率最高,为100%,其次为Ⅳ型,为84. 6%,Ⅰ型患者未出现恶性症状。结论根据甲状腺结节超声诊断征象的不同,甲状腺结节可分为6型,且每个类型恶性风险不同,根据超声诊断分型可以快捷方便地诊断甲状腺结节。
Objective To investigate the ultrasonographic features and classification of malignant thyroid nodules.Methods 102 patients with malignant thyroid nodules were selected as the study subjects,with a total of 183 nodules.32 patients with benign thyroid nodules were selected as a control study with 67 nodules.The general pathological features of the patients were observed and analyzed.The relationship between age and gender and malignant thyroid nodules was analyzed.The ultrasound diagnosis signs were recorded and analyzed.The ultrasonic diagnosis and pathological type characteristics were analyzed.Results Patients with thyroid nodules under the age of 60 were more likely to have malignant nodules than patients aged≥61 years;women with thyroid nodules were less likely to have malignant nodules than males;benign and malignant thyroids There was no significant difference in echogenicity and size between the nodules in the nodules(P>0.05).The echogenicity behind the nodules,whether they were accompanied by colloid,calcification,whether the capsule was invaded,margins,borders,and vertical and horizontal There were significant differences in the ratio,morphology and number(P<0.05).Among the main ultrasonic diagnostic indicators,the edge non-smoothing sensitivity was high,but the other indicators had higher positive predictive value and specificity.The thyroid nodules had the highest rate of typeⅥmalignancy,100%,followed by typeⅣ,84.6%.TypeⅠpatients did not develop malignant symptoms.Conclusion According to the different signs of ultrasound diagnosis of thyroid nodules,thyroid nodules can be divided into 6 types,and each type of malignant risk is different.According to ultrasound diagnosis,thyroid nodules can be diagnosed quickly and conveniently.
作者
徐婷婷
胡洋扬
石颖秋
XU Tingting;HU Yangyang;SHI Yingqiu(Yancheng Third People’s Hospital,Yancheng,224005)
出处
《实用癌症杂志》
2019年第4期583-586,共4页
The Practical Journal of Cancer
关键词
恶性甲状腺结节
超声征象
分型特征
Malignant thyroid nodules
Ultrasound signs
Typing characteristics
