不同年龄结节性甲状腺肿合并甲状腺癌患者甲状腺超声特征对比分析  

作　　者：周可荷 陈方红[1] 周海萍[1] 

机构地区：[1]浙江省丽水市中心医院,323000

出　　处：《浙江临床医学》2019年第9期1273-1274,共2页Zhejiang Clinical Medical Journal

摘　　要：目的分析并比较不同年龄结节性甲状腺肿合并甲状腺癌患者甲状腺超声特征.方法选择2016年8月至2018年3月甲状腺肿合并甲状腺癌患者96例,按照不同年龄分为甲组(年龄20~40岁)、乙组(年龄>40~60岁)和丙组(年龄>60~80岁),每组各为32例,三组均予以甲状腺二维超声与多普勒超声检查,并比较三组Ⅲ型血流、钙化、回声、阻力指数(RI)、平均收缩期流速(SPV)等超声声像图特征.结果甲组、乙组的粗钙化病灶率、微小钙化病灶率均显著高于丙组,且甲组高于乙组,三组差异有统计学意义(P<0.05);甲组、乙组、丙组高回声率、低回声率比较,甲组>乙组>丙组,组间差异有统计学意义(P<0.05);三组混合回声率、无回声率,差异无统计学意义(P>0.05);甲组病灶Ⅲ型血流比例、RI、SPV值均高于乙组、丙组,三组间差异有统计学意义(P<0.05).结论相比于>40~60岁、>60~80岁年龄段的患者,20~40岁结节性甲状腺肿合并甲状腺癌患者主要表现出病灶高回声、低回声,同时伴随微小钙化、血流阻力大等甲状腺超声特征,内部血流为主要血流分布形式.Objective To analyze and compare the characteristics of thyroid ultrasonography in patients with nodular goiter with thyroid carcinoma in different ages. Methods From August 2016 to March 2018,96 cases of goiter merged thyroid cancer patients were selected as the research objects of observation,according to the different age,they were divided into group a(aged between 20 to 40 years old)and group b(between the ages of 40~60 years old)and group c(between the ages of 60-80 years old),32 cases in each group. Three groups were examined by two-dimensional thyroid ultrasound and doppler ultrasound. The three groups Ⅲ,calcification,echo and blood flow RI(resistance index),the SPV(average systolic velocity),ultrasonic ultrasonographic features were compared. Results The crude calcification lesion rate and minor calcification lesion rate of group a and group b were all significantly higher than that of group c,and that of group a was higher than that of group b,with statistically significant differences among the three groups(P<0.05). Comparison of high echo rate and low echo rate in group a,group b and group c;the order was group a,group b, group c,and the difference between the groups was obvious(P<0.05). There was no significant difference between the three groups(P>0.05). The blood flow ratio,RI and SPV values of lesion Ⅲ in group a were all higher than those in group b and c,and there was statistical significance between the three groups(P<0.05). Conclusion Compared with patients aged 40~60 and 60~80 years old,patients with nodular goitre combined with thyroid cancer aged 20~40 years old mainly show hyperechoic and hypoechoic lesions,accompanied by thyroid ultrasonography features such as micro-calcification and large blood flow resistance,and the internal blood flow is the main blood flow distribution.

关 键 词：甲状腺癌 结节性甲状腺肿 不同年龄 甲状腺超声特征 

分 类 号：R581.3[医药卫生—内分泌]