桥本氏甲状腺炎对甲状腺癌超声诊断的影响研究  

Effect of Hashimoto's Thyroiditis on Ultrasonographic Diagnosis of Thyroid Carcinoma

作　　者：王立平[1] 杨琛[1] 钱超文[1] 时开元[1] 汪丽菁[1] 陈丽羽[1] 宋梅[1] 金鑫焱[1] 

机构地区：[1]浙江省肿瘤医院,浙江杭州310022

出　　处：《肿瘤学杂志》2015年第4期316-319,共4页Journal of Chinese Oncology

摘　　要：[目的]探讨桥本氏甲状腺炎(HT)对甲状腺恶性肿瘤的超声诊断是否有影响。[方法]回顾分析术前诊断甲状腺占位且经术后病理证实患者589例。根据有无伴桥本氏甲状腺炎将研究对象分成HT组与非HT组。依据术后甲状腺占位的病理结果,对比分析两组术前超声诊断甲状腺结节性质的能力,并分析桥本氏甲状腺炎对甲状腺癌声学特征包括低回声、微钙化灶、无声晕、纵横比失调、外形不规则、边界不清的影响。[结果]HT组患者甲状腺癌(TC)的发生率为58.0%(76/131),非HT组甲状腺癌的发生率为51.1%(234/458)(P>0.05)。HT组与非HT组在超声各恶性声学鉴别特征上均没有明显统计学差异(P>0.05)。[结论]桥本氏甲状腺炎对甲状腺癌灶声像特征的判断没有影响。[Purpose] To determine the effect of Hashimoto＇s thyroiditis on ultrasonographic diagnosis of thyroid carcinoma. [Methods] Five hundred and eighty-nine patients who underwent thyroidectomy for nodular goiter were analyzed retrospectively. Based on the results of postoperative pathology,the preoperative ultrasonographic diagnosis and characteristics of thyroid nodules in patients with and without HT were compared. The US characteristics of thyroid carcinoma included decreased echogenity,microcalcifications,halo sign,taller-than-wide orientation,irregular shape and indistinct margin. [Results] One hundred and thirty-one patients had HT,the incidence of TC in HT patients was 58.0%;while it was 51.1% in patients without HT（P〉0.05）. The US characteristics of thyroid carcinoma were similar in the patients with HT compared with the patients without HT. [Conclusion] The presence of HT seems to have no effect on the US characteristics of malignant nodules in TC patients.

关 键 词：桥本氏甲状腺炎 超声诊断 甲状腺肿瘤 

分 类 号：R736.1[医药卫生—肿瘤]