83例甲状腺乳头状癌的超声声像图特征分析  

Ultrasound diagnosis on papillary thyroid cancer:An analysis of 83 cases

作　　者：张淑琴[1] 王兴田[2] 胡欣[1] 李洪娥[1] 陆从庆[1] 

机构地区：[1]徐州医学院附属连云港医院影像诊断科 [2]徐州医学院附属医院

出　　处：《齐齐哈尔医学院学报》2012年第23期3246-3247,共2页Journal of Qiqihar Medical University

摘　　要：目的分析甲状腺乳头状癌的超声声像图特征,以探讨彩色多普勒超声在诊断甲状腺乳头状癌中的价值。方法回顾性分析83例经病理证实的甲状腺乳头状癌患者的临床资料和超声声像图。结果 83例乳头状甲状腺癌患者共95个肿瘤病灶,其超声声像图表现有以下特征:病灶多呈实质低回声、边界不清(无包膜)、形态欠规则、纵横比>1、病灶内微钙化、高阻血流频谱、伴颈部淋巴结转移等。结论掌握甲状腺乳头状癌超声声像图特征,可提高对本病的认识,以减少漏诊及误诊。Objective To investigate the sonography features of papillary thyroid carcinomas in order to improve its diagnosis and differential diagnosis. Methods Preoperative sonography of 83 patients with thyroid carcinoma confirmed by pathology were analyzed retrospectively.We analyzed the position,magnitude,calcification,boundary,the quantity,shape,speed,resistance index of blood vessel and whether with lymph tumescence on the neck or not. Results Papillary thyroid cancer had the following features audio and video charts：Mostly real low echo,rear multi-echo attenuation,border unclear（no capsule）,Aspect Ratio1,shape due to the rules,micro-calcification,blood flow impedance spectrum,the same side neck lymph node metastasis etc. Conclusions Mastering the color Doppler flow imaging features of papillary thyroid carcinoma can improve the cognition of this disease,reduce missed diagnosis and misdiagnosis,improve the valuable diagnostic evidence to the clinical therapy.

关 键 词：甲状腺乳头状癌 超声 

分 类 号：R736.1[医药卫生—肿瘤]