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目的探讨结节性甲状腺肿合并甲状腺癌的超声诊断价值。方法选取2013年3月-2015年1月医院收治的结节性甲状腺肿患者112例,先对患者进行二维超声检查,以了解患者的结节形态和钙化情况,再对患者进行彩色多普勒超声检查,以进一步观察患者的结节血流情况。结果术前超声诊断:恶性结节患者30例,恶性结节数54个;良性结节患者82例,良性结节数153个。术后病理检验:恶性结节患者55例,恶性结节数89个;良性结节患者57例,良性结节数107个。二维超声显示,恶性结节的有毛刺率、低回声率、粗钙化和微笑钙化率均明显高于良性结节(P<0.05)。恶性结节Ⅱ、Ⅲ血流信号的显示率明显高于良性结节Ⅱ、Ⅲ血流信号的显示率(P<0.05)。但恶性结节组和良性结节组血流PSV、PI平均值相比差异无统计学意义(P>0.05)。结论二维超声和彩色多普勒超声在结节性甲状腺肿合并甲状腺癌的临床诊断上均有较高的临床诊断价值,在检查过程中,需要细致扫查结节,对结节的血流和回升情况进行综合分析,并辅以穿刺活检,以获得明确诊断。
Objective To investigate the value of ultrasonography in diagnosis of nodular goiter complicated with thyroid cancer. Methods From March 2013 to January 2015, 112 patients with nodular goiter admitted to the hospital were selected. Two-dimensional ultrasonography was performed on the patients to understand the nodule morphology and calcification of the patients. The patients were then treated with color Doppler Le son ultrasound examination to further observe the patient’s nodules blood flow. Results Preoperative ultrasound diagnosis: 30 cases of malignant nodules, malignant nodules 54; 82 cases of benign nodules, nodules 153. Postoperative pathological examination: 55 cases of malignant nodules, 89 cases of malignant nodules; 57 cases of benign nodules, benign nodules 107. Two-dimensional ultrasound showed malignant nodules with burr rate, low echo rate, calcification and calcification of calcification were significantly higher than benign nodules (P <0.05). Malignant nodules Ⅱ, Ⅲ flow signal was significantly higher than the rate of benign nodules Ⅱ, Ⅲ flow signal display rate (P <0.05). However, there was no significant difference in the mean PSV and PI between the malignant nodules and benign nodules (P> 0.05). Conclusion Two-dimensional ultrasound and color Doppler ultrasound in the diagnosis of nodular goiter with thyroid cancer have a higher clinical diagnostic value in the inspection process, the need to carefully scan the nodules, the nodular blood flow And recovery of a comprehensive analysis, supplemented by biopsy to obtain a clear diagnosis.