常规体检高频超声对甲状腺结节的检出和甲状腺癌的诊断价值  

Diagnostic value of high-frequency ultrasound for the detection of thyroid nodule and thyroid cancer in routine physical examination

作　　者：王京平[1] 王萍平[2] 郑来坤 

机构地区：[1]山东省日照市中医医院,山东日照276800 [2]山东省日照市人民医院,山东日照276826

出　　处：《中国当代医药》2014年第10期119-120,123,共3页China Modern Medicine

摘　　要：目的探讨常规体检高频超声对甲状腺结节的检出和甲状腺癌的临床诊断价值。方法分析15626例常规体检高频超声的甲状腺声像图特点，观察甲状腺的大小、回声、肿块病变范围、形态、纵横比、边界、内部回声，彩色血流情况，对可疑者追踪其手术病理结果。结果2011-2012年常规体检高频超声检出甲状腺结节6191例，检出率为39．62％．可疑甲状腺癌193例，占结节检出人数的3．12％；手术病理证实甲状腺癌182例，诊断准确率为94．3％。结论常规体检高频超声对甲状腺结节的检出、结节良恶性半定性或定判断具有重要的临床价值。Objective To discuss the clinical diagnostic value of high-frequency ultrasound for the detection of thyroid nodule and thyroid cancer in routine physical examination. Methods Sonographic characteristics of thyroid of high-fre- quency ultrasound in 15 626 cases in routine physical examination were analyzed,the size,echo,lump pathological scope, shape,aspect ratio,border, internal echo of thyroid,and color flow were obsrved,the operation pathological results were tracked for the suspicious persons. Results Thyroid nodules in 6191 cases were detected with high-frequency uhra- sound in routine physical examination from 2011 to 2012,and the detection rate was 39.62%,among them there were 193 cases of suspicious thyroid cancer,it accounted for 3.12% of the number of people whose nodule detected;182 cases were confirmed as thyroid cancer by surgery and pathology,and the accurate rate of diagnosis was 94.3%. Conclusion High-frequency ultrasound has important clinical value of the detection of thyroid nodule and semi quantitative or qualitative judgement of malignant and benign nodule.

关 键 词：常规体检 高频超声 甲状腺结节 甲状腺癌 

分 类 号：R445.1[医药卫生—影像医学与核医学]