彩色多普勒超声对甲状腺结节良恶性鉴别诊断的价值探讨  

Value of Color Doppler Ultrasound in Differential Diagnosis of Benign and Malignant Thyroid Nodules

作　　者：刘凤兰[1] LIU Feng-lan(Liaoyuan Second People's Hospital,Liaoyuan 136200,China)

机构地区：[1]吉林省辽源市第二人民医院,吉林辽源136200

出　　处：《中国医药指南》2020年第12期67-68,共2页Guide of China Medicine

摘　　要：目的探讨在鉴别诊断甲状腺结节良恶性过程中彩色多普勒超声的临床应用价值。方法本次实验研究回顾性分析2017年11月至2018年11月在我院接受甲状腺结节治疗患者98例的临床资料,所有患者均给予彩色多普勒超声检查,通过分析其影像学资料对甲状腺结节的良恶性进行判断,并与病理结果进行对比分析。结果彩色多普勒超声在鉴别甲状腺结节良恶性过程中的敏感度和特异性分别为92.0%、92.6%;在回声、钙化、血流信号以及病灶边缘和有无包膜侵犯等影像学参数的比较上,甲状腺良性结节与甲状腺恶性结节之间存在显著差异(P<0.05)。结论在为甲状腺结节患者实施良恶性鉴别诊断的过程中彩色多普勒超声的声像图、钙化、血流信号、病灶边缘以及有无薄膜侵犯等情况均存在一定的差异,彩色多普勒超声对甲状腺结节良恶性的鉴别诊断具有较好的临床应用效果与价值,为患者病情判断以及疾病治疗提供了有价值的信息,因此,可以将彩色多普勒超声作为鉴别诊断甲状腺结节良恶性的理想方法。Objective To explore the clinical value of color Doppler ultrasonography in the differential diagnosis of thyroid nodules.Methods The clinical data of 98 patients with thyroid nodules treated in our hospital from November 2017 to November 2018 were retrospectively analyzed.All patients were examined by color Doppler ultrasound.The benign and malignant thyroid nodules were judged by analyzing their imaging data and compared with the pathological results.Results The sensitivity and specificity of color Doppler ultrasonography in differentiating benign and malignant thyroid nodules were 92.0%and 92.6%,respectively.There were significant differences between benign thyroid nodules and malignant thyroid nodules in terms of echo,calcification,blood flow signal and imaging parameters such as lesion margin and envelope invasion(P<0.05).Conclusion In the process of differentiating benign and malignant thyroid nodules,there are some differences in color Doppler ultrasonography,calcification,blood flow signal,lesion margin and membrane invasion.Color Doppler ultrasonography has a good clinical application effect and value in differentiating benign and malignant thyroid nodules,and it can be used to judge patients'condition and treat diseases.Therapy provides valuable information.Therefore,color Doppler ultrasound can be used as an ideal method to differentiate benign and malignant thyroid nodules.

关 键 词：彩色多普勒超声 甲状腺结节 良恶性鉴别诊断 病理结果 血流信号 

分 类 号：R445.1[医药卫生—影像医学与核医学] R581[医药卫生—诊断学]