甲状腺结节数对钙化甲状腺病变良恶性的鉴别价值  

Clinical Significance of Thyroid Nodule Quantity in Differentiating Benign and Malignant Thyroid Lesions with Calcification

作　　者：王育红[1] 黄云[1] 张炎[1] 刘刚[1] 吴仕和[1] 

机构地区：[1]海军总医院普通外科,北京100048

出　　处：《现代生物医学进展》2015年第11期2073-2075,共3页Progress in Modern Biomedicine

基　　金：国家自然科学基金项目(30901795)

摘　　要：目的:通过甲状腺病变术前超声声像图与术后病理间的对照,分析结节单发或多发在鉴别伴钙化甲状腺病变良恶性中的意义。方法:回顾性分析我院2010年1月至2013年12月收治的218例甲状腺病变患者的临床资料,将患者术前超声声像图与术后病理结果进行对比。结果:术前超声探及甲状腺单发结节伴钙化其术后病理恶性比例显著高于多发结节伴钙化,差异具有统计学意义(P<0.05);多发结节伴钙化其术后病理恶性比例显著高于多发结节不伴钙化,差异具有统计学意义(P<0.05)。结论:术前超声探及甲状腺单发结节伴钙化其术后病理恶性比例较高,应积极手术治疗,多发结节伴钙化因其术后病理恶性病理较低,不宜作为手术治疗甲状腺病变的绝对指征。Objective： To investigate the correlation between thyroid nodule quantity and benign or malignant thyroid lesions with calcification by comparing preoperative ultrasonic image with postoperative pathology. Methods： The preoperative ultrasonic image and postoperative pathological diagnosis of 218 patients with thyroid diseases who were diagnosed in our hospital from Jan 2010 to Dec 2013 were studied, analyzed and compared to provide a reference for the clinical diagnosis and treatment. Results： Postoperative pathological diagnosis indicated that the malignant incidence of thyroid single nodule with calcification was higher than thyroid multiple nodules with calcification（P0.05）, thyroid multiple nodules with calcification was higher than thyroid multiple nodules without calcification（P0.05）. Conclusion： Thyroid single nodule with calcification examined by preoperative ultrasound has a higher incidence of postoperative malignance, and should be treated with surgery; while thyroid multiple nodules with calcification have a relatively lower incidence of postoperative malignance, and are not absolute indicators for surgical treatment.

关 键 词：甲状腺结节 钙化 良恶性 鉴别价值 

分 类 号：R581[医药卫生—内分泌] R736.1[医药卫生—内科学]