甲状腺结节声晕对甲状腺癌的诊断价值  

Nodule Halo Sign in Thyroid Carcinoma

作　　者：罗长锐[1] 李泉水[1] 李振洲[1] 孙艳花[2] 熊华花[1] 郭国强[1] 

机构地区：[1]深圳市第二人民医院超声科,广东省深圳市518035 [2]深圳市第二人民医院病理科,广东省深圳市518035

出　　处：《中国超声医学杂志》2013年第2期103-105,共3页Chinese Journal of Ultrasound in Medicine

基　　金：深圳市医学重点学科建设经费资助(No.2005CD6)

摘　　要：目的探讨甲状腺结节声晕对甲状腺癌的诊断价值。方法回顾性分析经手术和病理证实的146个甲状腺结节的声晕超声图像特点,包括声晕的厚度、完整性、规则与否、晕环血流情况等几方面。结果 146个甲状腺结节中良性结节127个,恶性结节19个。甲状腺恶性结节声晕明显厚于良性结节声晕,两者差异有统计学意义(P<0.05)。恶性结节声晕多不规则,良性结节声晕多较规则,两者差异有统计学意义(P<0.05)。恶性结节声晕多无或仅见少许点状血流信号,良性结节声晕多可见点状、条状或环状血流信号,两者差异有统计学意义(P<0.05)。结论通过对甲状腺良性和恶性结节声晕超声图像特点对比分析,可为甲状腺癌的诊断提供有意义的指标。Objective To evaluate the diagnosis value of thyroid nodule halo sign in thyroid carcinoma. Methods The ultrasonic characteristics of halo sign in 146 thyroid nodules confirmed by surgery and pathology were analyzed retrospectively,which includes the halo sign thickness, integrity, regularity, with or without blood flow. Results The halo sign in malignant thyroid nodules were thicker than that in benign nodules（P〈0.05）. Most nodules halo sign of malignant were irregular, while most halo sign of benign nodules were regular, there was statistically difference between them（P〈0.05）. There were no blood flow in Most malignant thyroid nodules, while most of benign thyroid nodules appeared pointlike, strip, annular blood flow, there was statistical difference between them（P%0.05）. Conclusions It can offer a significant index in diagnosis of thyroid carcinoma by comparing benign thyroid nodules with malignant thyroid nodules about ultrasonic characteristics of the halo sign.

关 键 词：甲状腺结节声晕 甲状腺癌超声检查诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学] R736.1[医药卫生—诊断学]