超声对甲状腺癌和甲状腺腺瘤的诊断和鉴别诊断价值分析  

Diagnosis and Differential Diagnosis of Thyroid Carcinoma and Thyroid Adenoma by Ultrasound

作　　者：李煜华[1] LI Yuhua(Ultrasound Imaging Department,Songzi People's Hospital of Hubei Province,Songzi Hubei 434200,China)

机构地区：[1]湖北省松滋市人民医院超声影像科,湖北松滋434200

出　　处：《中国继续医学教育》2018年第9期40-42,共3页China Continuing Medical Education

摘　　要：目的探讨超声对甲状腺癌和甲状腺腺瘤的诊断和鉴别诊断价值。方法研究对象共78例,均是本院2016年6月-2017年10月所接收的甲状腺癌和甲状腺腺瘤患者,其中甲状腺癌患者共有15例,将其作为本次研究的观察组,甲状腺腺瘤患者共有63例,将其作为本次研究的对照组,在本次研究中,所有研究对象均接受了超声检查。主要观察患者甲状腺大小、形态以及内部回声等,以此来对比在超声检查之下,甲状腺癌和甲状腺腺瘤的不同之处。结果在本次研究中,在二维声图像上,两组患者之间差异十分显著(P<0.05)。通过对两组患者进行彩色多普勒超声检查之后,发现甲状腺腺瘤患者病灶内部血流稀少,且血流信号大多分布在病灶周围,患者的RI<0.6。而在甲状腺癌患者的结节当中均可探及到血流信号,且血流信号表现为中心性,且血流信号十分紊乱,患者的RI>0.7。在血流信号上两组之间差异具有显著差异(P<0.05)。结论在对甲状腺癌和甲状腺腺瘤的临床诊断工作当中,超声这一检查方式的应用效果是十分显著的,能够为患者后续疾病的治疗提供科学依据。Objective To explore the value of ultrasound in the diagnosis and differential diagnosis of thyroid carcinoma and thyroid adenoma.Methods A total of 78 cases,they were in our hospital from June 2016 to October 2017 received thyroid cancer and thyroid adenoma patients,including patients with thyroid carcinoma were 15 cases,as the observation group in this study,patients with thyroid adenoma were 63 cases,as the control group in this study,all subjects underwent ultrasound examination.The size,shape and internal echo of the thyroid gland were observed,so as to compare the difference between thyroid cancer and thyroid adenoma under ultrasonography.Results In this study,there was a significant difference between the two groups of patients in the two dimensional sound images(P<0.05).After checking the two groups of patients by color Doppler ultrasound,found that there were few blood flow in the lesions of thyroid adenoma,and the blood flow signals were mostly distributed around the lesion,RI<0.6 of the patients.In the nodules of thyroid cancer,blood flow signals can be detected,and the blood flow signal was centrality,and the blood flow signal was very disorder,the patient's RI>0.7.There was a significant difference between the two groups in blood flow signals(P<0.05).Conclusion In the clinical diagnosis of thyroid cancer and thyroid adenoma,the effect of ultrasound examination is very significant,which can provide a scientific basis for the follow-up treatment of patients.

关 键 词：超声 甲状腺癌 甲状腺腺瘤 诊断 鉴别诊断 价值 

分 类 号：R736.1[医药卫生—肿瘤]