常规超声联合超声造影诊断甲状腺乳头状癌的体会  

Experience of conventional ultrasound combining contrast-enhanced ultrasound in diagnosis of papillary thyroid carcinoma

作　　者：赵冬丽 王云梅[2] 李逢生[2] 刘曙光 

机构地区：[1]商洛市中医医院超声科,陕西商洛726000 [2]西安交通大学医学院附属陕西省肿瘤医院,陕西西安710061 [3]陕西省红会医院骨科,陕西西安710004

出　　处：《现代肿瘤医学》2016年第16期2593-2597,共5页Journal of Modern Oncology

基　　金：陕西省科技厅社会发展攻关计划项目(编号:2012K13-02-39)

摘　　要：目的:评价常规超声(US)、超声造影(CEUS)及二者联合诊断甲状腺乳头状癌(papillary thyroid carcinoma,PTC)的价值。方法:回顾性分析80例甲状腺实性单发结节的US特征及CEUS表现。评价US、CEUS及二者联合应用诊断甲状腺PTC的价值。结果:US组诊断敏感度、特异度及准确率分别是88.0%、80.0%和85.0%,CEUS组诊断敏感度、特异度及准确率分别是94.0%、90.0%及92.5%,二者联合应用的敏感度、特异度及准确率分别是96.7%、92.7%和94.9%。结论:典型的PTC结节US可独立做出较明确的诊断,慢进、晚增及低增强对PTC具有较高的价值,二者联合应用大于各自单独检查的诊断效能。Objective：To assess the value of conventional ultrasound,contrast - enhanced ultrasound and combine both methods in diagnosis of papillary thyroid carcinoma（PTC）. Methods：The features of US and CEUS were ana-lyzed retrospectively in 80 cases with solid thyroid nodules,and the value of conventional ultrasound,contrast - en-hanced ultrasound and combine of both methods were assessed in diagnosis of papillary thyroid carcinoma. Results：Sensitivity,specificity and accuracy of diagnosis were 88. 0% ,80. 0% and 85. 0% respectively in group of US. Sensi-tivity,specificity and accuracy of diagnosis were 94. 0% ,90. 0% and 92. 5% respectively in group of CEUS. And sen-sitivity,specificity and accuracy of diagnosis were 96. 7% ,92. 7% and 94. 9% respectively in group of combined both methods. Conclusion：US could make correct diagnosis independently in typical PTC nodules. However slow perfu-sion,delayed increase and weak enhancement have higher value for diagnosis of PTC. Efficiency of combined both methods was higher than either of the two methods.

关 键 词：常规超声 超声造影 甲状腺乳头状癌 

分 类 号：R736.1[医药卫生—肿瘤]