灰阶超声与多普勒超声对甲状腺乳头状癌的诊断价值对比  

Comparison of Diagnostic Value of Gray Scale Ultrasound and Doppler Ultrasound in Papillary Thyroid Carcinoma

作　　者：鞠敏[1] 黄海华[1] 周施丽 匡莉[1] 陈萍[1] 

机构地区：[1]解放军第三军医大学西南医院超声科,重庆400038

出　　处：《现代生物医学进展》2016年第18期3481-3484,共4页Progress in Modern Biomedicine

基　　金：国家自然科学基金项目(30972894)

摘　　要：目的：探讨灰阶超声和多普勒超声对甲状腺乳头状癌的诊断价值。方法：选取2013年9月-2014年9月在我院入院接受治疗的90例甲状腺乳头状癌。患者入院后,分别采用灰阶超声诊断和多普勒超声诊断对患者检查诊断,并对两种超声诊断方法的诊断率和对淋巴转移的诊断准确率进行比较分析,并对两种诊断方法的检查图像表现进行比较。结果：灰阶超声诊断诊断出82例,确诊率为91.1%,而多普勒超声诊断出85例,确诊率为94.4%。多普勒超声确诊率高于灰阶超声的,但无显著性差异（P〉0.05）。而灰阶超声诊断出有38例患者存在淋巴转移现象,诊断率为61.3%,多普勒超声诊断出有58例患者存在淋巴转移现象,诊断率为93.5%,多普勒超声的诊断率明显高于灰阶超声的,差异显著,具有统计学意义（P〈0.05）。结论：灰阶超声和多普勒超声对甲状腺乳头状癌都有较高的准确率,但多普勒超声在诊断患者是否有淋巴转移方面诊断率更高,结节内的血流信号更准确,其确诊率高达94.4%（P〉0.05）。通过检测有淋巴转移的患者的淋巴结内部的血管会变粗或增多等信息可提高淋巴转移的确诊率,具有可观的临床疗效。Objective： To evaluate the diagnostic value of gray scale ultrasound and Doppler ultrasound in papillary thyroid carcinoma. Methods： 90 cases of papillary thyroid carcinoma in our hospital admission for treatment were selected from September 2013 to September 2014. All the patients were examined and diagnosed using gray scale ultrasound and Doppler ultrasound, and the diagnostic accurate rate of two ultrasound diagnostic methods and the accuracy rate to diagnose the lymph node metastasis were compared, and the image of two diagnostic methods was analyzed. Results： 82 cases were diagnosed by the gray scale ultrasound, and the diagnostic rate was 91.1 %, while 85 cases were diagnosed by the Doppler ultrasound, and its diagnostic rate was 94.4 %, so the diagnostic accuracy of Doppler ultrasound was higher than that of the gray scale ultrasound, but no significant difference（P〉0.05）. 38 patients were found lymph node metastasis by the gray scale ultrasound, the diagnostic rate was 61.3 %, while 58 patients were found lymph node metastasis by the Doppler ultrasound, and the diagnostic rate was 93.5%, which was significantly higher than that of the gray scale ultrasound with significantly statistical difference（P〈0.05）. Conclusions： The gray scale ultrasound and Doppler ultrasound have good accurate rate for diagnosis ofpapillary thyroid carcinoma, but the Doppler ultrasound is superior to gray scale ultrasound in the diagnosis of lymph node metastasis with more accurate blood flow signal in nodules, its good accurate rate is 94.4%（P〉0.05）, so the diagnostic accuracy of lymph node metastases can be improved by detection of thickened or increased blood vessels signal in lymphatic nodules.

关 键 词：灰阶超声 多普勒超声 甲状腺乳头状癌 

分 类 号：R736.1[医药卫生—肿瘤]