彩色多普勒超声对甲状腺癌与甲状腺瘤鉴别诊断的价值  

Evaluation of Distinguish Diagnosis of Thyroid Carcinoma and Thyroid Adenoma by Color Doppler Ultrasonography

作　　者：刘晓波 

机构地区：[1]夏邑县第二人民医院彩超室,河南省商丘市476400

出　　处：《现代医用影像学》2015年第6期983-985,共3页Modern Medical Imageology

摘　　要：目的:分析彩色多普勒超声在甲状腺癌和甲状腺瘤诊断中的应用价值,以提高其诊断水平。材料与方法:收集本院经手术病理证实的20例甲状腺癌及20例甲状腺瘤患者,总结鉴别两者的二维及彩色多普(CDFI)超声表现。结果:甲状腺癌超声表现为甲状腺内低回声结节,肿块周边无声晕,肿块内可伴微钙化灶,甲状腺癌的血供表现以高阻力为主,与甲状腺瘤的超声表现不同。结论:甲状腺癌的超声表现具有一定的特点,综合分析二维超声及CDFI图特征,有利于正确诊断甲状腺癌。Purpose： To analyze the diagnostic value of thyroid carcinoma and thyroid adenoma by color Doppler uhrasonogra- phy, and improve the diagnostic level of thyroid carcinoma. Materials and Methods： Twenty cases with thyroid carcinoma and twenty cases with thyroid adenoma confirmed by pathology were collected and distinguished comparatively with two-dimensional and color Doppler flow imaging （CDFI）. Results： The uhrasonography characteristics of thyroid carcinoma showed low echo nodule, no halo sign, and mi- crocalcification in the masses. CDFI showed rich blood signals with high resistance index in thyroid carcinoma. There were significant differences in two-dimensional image and CDFI between thyroid carcinoma and thyroid adenoma. Conclusion： Ultrasonic characteristics of thyroid carcinoma are specific ; the correct diagnosis rate of thyroid carcinoma can be raised by the combing of two-dimensional ultrasound and color Doppler flow imaging.

关 键 词：甲状腺癌 甲状腺瘤 二维声像图 彩色多普勒超声 

分 类 号：R445.1[医药卫生—影像医学与核医学]