彩色多普勒超声在甲状腺癌诊断中的应用价值  

To investigate the diagnostic value of color Doppler in thyroid carcinoma

作　　者：陆燕飞[1] 宋海国[1] 陆福华 

机构地区：[1]广西壮族自治区民族医院超声科,南宁530001

出　　处：《中国肿瘤临床与康复》2015年第3期329-331,共3页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨彩色多普勒超声在甲状腺癌诊断中的应用价值。方法回顾性分析2012年1月至2013年12月间收治的65例经病理确诊的甲状腺癌患者的二维与彩色血流图像。结果共发现80枚肿块,肿块大小为5.1mm×6.2mm至66.5mm×48.0mm,平均大小为25.0mm×23.0mm。超声图像显示,肿块边界不规则,且无包膜,周边无任何声晕;部分出现不均匀回声,或者稍低回声,混合性回声。彩色多普勒超声结节显示有血流信号,且表现中心性和穿入性血流,血流信号的多少与患者病灶大小相关,结节越大其血流信号越丰富,且比较复杂。结节血流分级显示,Ⅰ级10例（15.4%）,Ⅱ级28例（43.1%）,Ⅲ级27例（41.5%）。PSV为10.5cm/s至50.0cm/s,流速为（30.4±3.5）cm/s;RI为0.42-0.99,平均RI为0.71。结论彩色多普勒超声在甲状腺癌诊断中具有重要价值,二维和彩色多普勒超声能够有效提高诊断符合率。Objective To investigate the value of color Doppler ultrasound in the diagnosis of thyroid cancer. Methods A retrospective method for two-dimensional in our hospital in January 2012 to December 2013 65 cases of pathologically confirmed thyroid cancer patients were analyzed with color flow images. Results The total of 80 tumors,tumor size： 5. 1mm × 6. 2mm-66. 5mm × 48. 0mm,the average size of 25. 0mm × 23. 0mm. Image Display： irregular borders,and no envelope,no sound surrounding halo;partially uneven echo,echo,or slightly lower,mixed echo. Color Doppler ultrasound blood flow signals showed nodules and performance center and penetrate blood flow,blood flow in patients with tumor size and the number of relevant and rich nodules greater the blood flow signal,and more complex. Nodular flow grade： grade Ⅰ 10 cases,the proportion of 15. 4%; Ⅱ grade 28 cases,the proportion of 43. 1%; gradeⅢ 27 cases,the proportion was 41. 5 %. PSV is 10. 5cm /s to 50. 0cm /s,the average flow rate of（ 30. 4 ± 3. 5） cm / s; RI of 0. 42-0. 99,the average RI of（ 0. 71 ± 0. 5）. Conclusion The clinical application of color Doppler ultrasound has important applications in the diagnosis of thyroid cancer,the two-dimensional and color Doppler ultrasound can effectively improve the diagnosis rate,worthy of clinical application.

关 键 词：甲状腺肿瘤 彩色多普勒超声 临床诊断 应用价值 

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]