三维血管能量图超声在甲状腺结节诊断中的应用  

Clinical Application of Three-dimensional Color Energy Mapping in Thyroid Nodules

作　　者：江泉[1] 柏宁野[2] 赵玉华[1] 张渊[1] 张婉莹[1] 顾晓鸣[1] 

机构地区：[1]浦东新区人民医院超声科,上海市201200 [2]上海市第二人民医院超声科

出　　处：《中国超声医学杂志》2008年第7期598-600,共3页Chinese Journal of Ultrasound in Medicine

基　　金：上海市浦东新区社发局卫生科技项目[NoPWRd2007-03]

摘　　要：目的研究三维血管能量图超声在甲状腺结节诊断中的应用。方法对56例甲状腺62个结节进行血管能量图三维超声检查,与手术、病理结果对照分析。结果在三维血管能量图中,良、恶性甲状腺结节具有各自特点。恶性结节:血管内径明显增粗,粗细不一,扭曲无序的分布状态,占73.3%;良性结节:囊性或囊实混合性病变表现血管在外周分布;而实质性结节血管内径细小,均匀一致,由外及内的规律分布,共占87.2%(P<0.05)。结论甲状腺血管能量图三维超声提供了直观的、形态学的肿块血供三维能量图模式特点,能显示肿块与周围组织关系及血管的分布,确认肿瘤的新生血管构成,充实了肿瘤性质的分析方法。Objective To explore the clinical application of 3-D color energy（3CDE） mapping in the diagnosis of the thyroid nodules. Methods A total of 62 thyroid nodules in 56 patients were detected on 3 CDE mapping. The ultrasonic data were compared with results of surgery and pathology. Results The mapping of thyroid nodules had high reproducibility . Benign and malignant thyroid nodules has their own characteristics. About 73.3%（11/15） of malignant thyroid nodules displayed dilatated ,distorted and irregular distributed vessels. In benign nodules the cyst or cystic solid noudles showed that the vessels distributed surrounding the mass, and the substantial nodules showed thin,regular vessels arranged from outside toward the inner. All the two types counted to 87. 2% （41/47）. Therefor, significant difference was present as benign nodules vs malignant （P〈0. 05）. Conclusions 3CDE provided directviewing and thyroid nodular morphology, and 3CDE nodular mapping can display the vessel structure. The relationship with adjacent tissue and distribution of vessels may also help confirm new vessels of thyroid nodules. 3CDE mapping is a new method for analysing tumor characterisitcs.

关 键 词：三维超声能量图模式 甲状腺结节 临床诊断 治疗方法 

分 类 号：R445.1[医药卫生—影像医学与核医学]