B超介导甲状腺微小乳头状癌定性及定位诊断价值研究  

Localizing and qualitative diagnosis of papillary microcarcinoma of thyroid by ultrasound

作　　者：赵敬柱[1] 高明[1] 张晟[2] 李亦工[1] 于洋[1] 程文元[1] 张艳[1] 杨力珍[1] 赵文川[1] 

机构地区：[1]天津医科大学附属肿瘤医院天津市肿瘤防治重点实验室甲状腺颈部肿瘤科,天津300060 [2]天津医科大学附属肿瘤医院天津市肿瘤防治重点实验室超声诊断治疗科,天津300060

出　　处：《中国实用外科杂志》2013年第5期393-396,共4页Chinese Journal of Practical Surgery

摘　　要：目的探讨二维B超在甲状腺微小乳头状癌的定性、定位诊断中的作用。方法收集2011年6月至2011年11月间天津医科大学附属肿瘤医院收治的甲状腺微小乳头状癌病例92例,分析甲状腺微小乳头状癌的声像图特征。结果采用甲状腺影像报告和数据系统(thyroid imaging reporting and data systerm,TI-RADS),根据超声图像的边界、包膜、内部回声、微钙化、CDFI的特征对甲状腺微小乳头状癌进行定性诊断,超声诊断准确率为89.1%。通过横切、纵切及斜切对癌灶的部位进行评估。结论超声检查在甲状腺微小乳头状癌的临床诊断中具有独到的优势,术前准确的定性、定位诊断,以协助制定、实施个体化治疗方案。Objective To appreciate the value of ultrasonography in the diagnosis of papillary microcarcinoma of the thyroid. Methods Data of 92 cases of papillary microcarcinoma of the thyroid was analyzed for ultrasound characteristics and diagnosis. Results The nodules were graded by TI - RADS. Papillary microcarcinoma of the thyroid can be diagnosed according to features detected by ultrasound, including hypo-eeho tubercle, mierocalcification, irregular and indefinite border, with an accuracy rate of 89.1% .Two-dimensiona and high-frequency sonography is helpful to localizing and qualitative diagnosis of papillary microcarcinoma. Conclusion Ultrasonography has a very important effectiveness for localizing and qualitative diagnosis of papillary mierocarcinoma, which provid the valuable diagnostic evidence to the individual therapy.

关 键 词：甲状腺微小乳头状癌 超声 定性定位诊断 

分 类 号：R6[医药卫生—外科学]