超声定期复查甲状腺结节的临床意义  

Clinical value of ultrasound in regular re-examination of thyroid nodules

作　　者：孟凡荣[1] 朱雪莲[2] 陈松旺[1] 陆建平[1] 

机构地区：[1]南京医科大学附属南京第一医院功能科,南京市210006 [2]温州医学院附属第一医院超声科

出　　处：《临床超声医学杂志》2010年第9期630-632,共3页Journal of Clinical Ultrasound in Medicine

摘　　要：目的通过对甲状腺可疑癌结节的定期复查,发现甲状腺癌的超声影像学变化特点,提高甲状腺癌的检出率。方法甲状腺可疑癌结节患者77例,超声定期复查,间隔时间3个月,观测超声二维特征及彩色多普勒血流特点;根据病理结果分为2组:甲状腺乳头状癌组、良性结节组,良性结节组包括结节性甲状腺肿和甲状腺腺瘤;然后分析病理与影像学的关系。结果与良性结节相比,甲状腺乳头状癌结节内闪烁血流信号比例增多,单发结节增大的比例增多,差异均有统计学意义(P<0.01)。结节内闪烁血流信号对甲状腺乳头状癌诊断的真阳性为100%。结论在甲状腺可疑癌结节复查监测中,应重点监测甲状腺结节内闪烁血流信号、单发结节是否增大。Objective To find the ultrasonic imaging features of thyroid nodules by regular re - examination of the suspicious nodules of thyroid cancer with ultrasound, and to improve the detection rate of thyroid cancer. Methods Seventy - seven patients with suspicious nodules of thyroid cancer were examined by ultrasound every three months, and the characteristics of two - dimensional and color Doppler flow imaging were recorded. According to pathological results, these nodules were divided into thyroid carcinoma group and benign tumor group which composed of nodular goiter and thyroid adenoma. Then the relationship between pathology and ultrasonic imaging was analyzed. Results Compared with benign group, the blinking blood signals and the size of single nodule were increased in thyroid papillary carcinoma group, there was significant difference between the two groups（P 〈 0.01 ）. The specificity of blinking blood signals was 100% for diagnosis of thyroid papillary carcinoma. Conclusion The flashing flow signals and the size of single nodule should be focused on in monitoring the suspicious nodules of thyroid carcinoma.

关 键 词：甲状腺结节 超声检查 复查 

分 类 号：R763.11[医药卫生—耳鼻咽喉科]