桥本甲状腺炎伴甲状腺乳头状癌32例声像图分析  

The diagnostic value of ultrasonography in 32 cases with the Hashimoto′s thyroiditis complicated with thyroid carcinoma

作　　者：王志萍[1] 严继萍[1] 孙欣[1] 

机构地区：[1]山西省人民医院超声科,山西太原030012

出　　处：《实用医学影像杂志》2012年第5期319-320,共2页Journal of Practical Medical Imaging

摘　　要：目的探讨二维超声及彩色多普勒超声对桥本甲状腺炎基础上伴发甲状腺乳头状癌的诊断价值。方法回顾分析经病理检查确诊的32例(36个病灶)桥本甲状腺炎基础上伴发甲状腺乳头状癌患者,根据二维超声及彩色多普勒血流观察直径>1 cm的肿瘤及直径<1 cm的肿瘤。结果 32例(36个病灶)桥本甲状腺炎伴发甲状腺乳头状癌患者中,36个病灶均为实性,肿瘤周边未见声晕,内部血流分布为主。肿瘤直径>1 cm的27个病灶中内部可见砂砾体样微钙化者15例,低回声者27例,边界模糊者22例;肿瘤直径<1 cm的9个病灶中,内部可见砂砾体样微钙化者4例,低回声者9例,边界模糊者4例。结论二维超声及彩色多普勒超声可以对桥本甲状腺炎伴发甲状腺乳头状癌作出诊断。Objective To discuss the diagnostic value of grayscaleultrasound and color Doppler ultrasonography in the Hashimoto＇s thyroiditis complicated with thyroid carcinoma. Methods Tirty-two patients （36 nidus） with hashimoto＇s thyroiditis complicated with thyroid carcinoma were divided into two groups according to size. The diameter of group one was above 1cm; the other group was less than 1 cm. Results In 32 patients （36 niduses） , 36 niduses were all solid nodules,absent halo sign,intemal blood flow patten. In group one, were mierocalcifications were 15 cases, hypoechoic 27 cases, ill defined 22 cases. In group 2, There were microealcifications 4 cases, hypoechoie 9 cases, ill defined 4 cases grayscaleuhrasound diffuseenlarged Hashimoto＇s thyroiditis （HT）. Most HT lesions showed diffused enlarged glands,with decreased intraeeho and inhomogeneous echogram of meshwork, except those nodular enlarged TH. Conclusion Ultrasonography shows important value in the Hashimoto＇s thyroiditis complicated with thyroid carcinoma.

关 键 词：超声检查 多普勒 彩色 血管造影术 数字减影 放射摄影术 介入性 

分 类 号：R736.1[医药卫生—肿瘤] R445.1[医药卫生—临床医学]