论文部分内容阅读
目的探讨高频彩色多普勒超声对甲状腺乳头状癌定性诊断的价值。方法对95例经术后病理证实的甲状腺乳头状癌的高频二维超声和彩色多普勒声像图进行回顾性分析。结果 63例以实性密集低回声为主,边界不规则,呈蟹足样或有明显毛刺状,可见有砂砾样钙化。32例以混合回声为主,可有液性或混合性暗区,暗区周边不光滑。95个病例中,术前二维超声和彩色多普勒超声诊断为甲状腺癌63例,结节性甲状腺肿20例,甲状腺腺瘤11例,弥漫性毒性甲状腺肿(甲状腺功能亢进)1例,术前超声诊断与病理符合率为66.3%。结论甲状腺癌超声表现具有一定的特异性,高频二维和彩色多普勒超声对甲状腺恶性肿瘤的定性诊断有较高的应用价值。
Objective To investigate the value of high-frequency color Doppler ultrasound in the diagnosis of papillary thyroid carcinoma. Methods The clinical data of 95 patients with papillary thyroid carcinoma confirmed by pathology were retrospectively analyzed by two-dimensional ultrasonography and color Doppler sonography. Results 63 cases with solid hypoechoic-based, irregular boundaries, crab-like or obvious burr-like, showing gravel calcification. 32 cases of mixed echo-based, there may be liquid or mixed dark, dark area around the non-smooth. In 95 cases, 63 cases of thyroid cancer, 20 cases of nodular goiter, 11 cases of thyroid adenoma, 1 case of diffuse toxic goiter (hyperthyroidism) were diagnosed by preoperative two-dimensional ultrasonography and color Doppler sonography. Preoperative ultrasound diagnosis and pathology consistent rate was 66.3%. Conclusions Ultrasound of thyroid cancer has certain specificity. High-frequency two-dimensional and color Doppler ultrasonography have high value in the qualitative diagnosis of thyroid malignant tumors.