甲状腺钙化病灶在鉴别甲状腺良恶性结节中的作用  

The Role of Thyroid Calcification in the Differential Diagnosis of Thyroid Benign and Malignant Nodules

作　　者：李建聪[1] 梁荣华[1] 吴堂珍[1] 

机构地区：[1]中山市黄圃人民医院

出　　处：《世界最新医学信息文摘》2017年第35期15-16,共2页World Latest Medicine Information Electronic Version

摘　　要：目的对甲状腺癌高频声像图中钙化的意义进行分析探讨。方法将本院在2015-2016年收治的100例甲状腺结节的高频声像图作为临床研究资料,对其进行回顾性分析探讨,把其中的钙化分为三种类型:微钙化、粗钙化、弧形钙化。结果恶性组有10例患者,检出的钙化患者有4例(40.00%),其中,微钙化3例,粗钙化1例,在有微钙化的甲状腺中全部为乳头状癌。在良性组90例患者中,检出的钙化患者有9例(10.00%),其中,微钙化的患者为5例,粗钙化的患者有3例,弧形钙化的患者有1例。对比两组的钙化率,差异有显著的统计学意义(P<0.05)。但是两组在粗钙化与微钙化两方面进行比较,没有明显的差异。在甲状腺癌的诊断中,钙化的敏感性为45.00%,特异性为91.00%。结论在诊断甲状腺癌的过程中,高频声像图中的钙化是其进行诊断非常显著的指标。钙化是什么形状的对甄别甲状腺结节的良恶性没有多大的帮助,但是,微钙化却是对乳头状癌进行诊断的一个显著的指标。Objective To investigate the significance of calcification in high frequency sonography of thyroid cancer. Methods The hospital in 100 cases of thyroid nodules in 2015-2016 treated by high frequency ultrasonography as clinical research data, retrospective analysis was performed on the study, the calcification is divided into three types： Micro calcification, coarse calcification, curved calcification. Results There were 10 patients in the malignant group, and 4 cases（40.00%） had calcification. Among them, there were 3 microcalcifications and 1 coarse calcifications, all of which were papillary carcinoma in the thyroid gland with microcalcification. In the benign group of 90 patients, there were 9 patients with calcification（10.00%）, including 5 patients with microcalcifications, 3 patients with coarse calcification, and 1 patients with calcified calcification. the calcification rate of the two groups was compared, the difference was statistically significant（P〈0.05）.However, there were no significant differences between the two groups in two aspects： calcification and microcalcifications. In the diagnosis of thyroid cancer, the sensitivity of calcification is 45.00% and the specificity is 91.00%.Conclusion Calcification in high frequency ultrasonography is a very significant indicator in the diagnosis of thyroid carcinoma. What shape the calcification is, is not very helpful in screening the benign and malignant thyroid nodules, but microcalcifications are a significant indicator of papillary cancer.

关 键 词：甲状腺癌 钙化 高频声像图 

分 类 号：R736.1[医药卫生—肿瘤]