彩色多普勒超声对甲状腺结节的诊断价值  

Value of colour Doppler ultrasonography in differential diagnosis of hyroid nodules

作　　者：彭世义[1] 顾奇澜[1] 杨仲坤[1] 张建华[1] 陆玲芳[1] 

机构地区：[1]复旦大学附属中山医院青浦分院超声科,上海市201700

出　　处：《江苏医药》2013年第13期1552-1554,共3页Jiangsu Medical Journal

摘　　要：目的探讨甲状腺良、恶性结节的超声诊断价值。方法回顾性分析手术治疗的甲状腺结节患者253例(349个结节)的临床资料。术前均行甲状腺超声检查,记录结节边界、回声性质、回声结构、钙化情况、结节血流等超声特征。结果术后病理诊断良性结节242个,恶性结节107个。边界不清楚、实性、低回声结构、钙化、周边血流等超声特征在恶性结节中较为常见,恶性结节在形态、结节边界、内部结构、钙化、内部回声等方面与良性结节差异有统计学意义。结论综合分析甲状腺结节超声影像特点可以提高良、恶性结节的鉴别诊断准确率。Objective To investigate the value of colour Doppler ultrasonography in differential diagnosis of hyroid nodules. Methods Data of 253 patients with 349 thyroid nodules were retrospectively analyzed, who underwent thyroid operation and were examined by Doppler ultrasonography before surgery. The diagnosis of thyroid nodules was confirmed pathologically after surgery, of which 242 nodules were benign and 107 nodules were malignant. Results The ultrasonic features commonly seen were unclear border, solid, low echo structure, calcification, and peripheral blood flow. There were remarkable differences on the ultrasonogram in morphology, nodule boundary, internal structure, internal echo, and calcification between benign and malignant thyroid nodules. Conclusion Comprehensive analysis of features of thyroid nodules on ultrasound imaging can improve the accuracy rate of differential diagnosis of benign and malignant thyroid nodules.

关 键 词：彩色多普勒超声 甲状腺结节 

分 类 号：R445[医药卫生—影像医学与核医学]