甲状腺钙化超声分型对甲状腺结节良恶性病变的鉴别诊断价值  

Differential Diagnostic Value of Ultrasound Classification of Thyroid Calcification in Benign and Malignant Lesions of Thyroid Nodules

作　　者：李红艳[1] 王艳云[1] 肖春影 LI Hong-yan;WANG Yan-yun;XIAO Chun-ying(Dept.of Ultrasound,Fengxian People's Hospital,Xuzhou 221700,China)

机构地区：[1]丰县人民医院超声科,江苏徐州221700

出　　处：《泰山医学院学报》2020年第6期427-429,共3页Journal of Taishan Medical College

摘　　要：目的分析甲状腺钙化超声分型对甲状腺结节良恶性病变鉴别的临床价值。方法两组患者超声下甲状腺结节数量、形状构成情况、是否出现钙化灶、钙化灶分型情况并行组间比较。总结甲状腺钙化在鉴别甲状腺结节良恶性病变中的价值。结果①甲状腺良性结节和恶性结节在形状构成及单发多发构成上比较差异有统计学意义,良性结节以圆形、不规则形为主,恶性结节以长方形为主;②甲状腺良性结节超声下钙化灶检出率显著低于恶性结节,且多发钙化灶高于单发钙化灶;③甲状腺良性结节和恶性结节中钙化类型构成比差异有统计学意义。良性结节以微钙化、粗钙化、边缘钙化为主,而恶性结节以微钙化、粗钙化为主。结论超声检查甲状腺结节具有无创、快速、简便、可靠的优势,可为甲状腺结节良恶性诊断提供初始方向,为临床是否进行病理检查提供参考,避免漏诊和没有意义的病理检查,提高诊断检查的效率,具有较高的临床价值。Objective:To analyze the clinical value ultrasound classification of thyroid calcification in the differential diagnosis of benign and malignant thyroid nodules.Methods:The number and shape of thyroid nodules under ultrasound,the presence or absence of calcification,and the classification of calcification were compared between the two groups.Results:①There were significant differences in shape and single multiple composition between benign and malignant thyroid nodules.Benign nodules were mainly round and irregular,while malignant nodules were mainly rectangular;②The detection rate of calcification in benign thyroid nodules under ultrasound was significantly lower than that in malignant thyroid nodules,and multiple calcifications were higher in benign lesions than that in malignant lesions than single calcifications;③There was significant difference in the proportion of calcification types between benign and malignant thyroid nodules.Benign nodules are mainly micro-calcification,coarse calcification and marginal calcification,while malignant nodules are mainly micro-calcification and coarse calcification.Conclusion:Ultrasound examination of thyroid nodules has the advantages of non-invasive,rapid,simple and reliable.It can provide initial direction for the diagnosis of benign and malignant thyroid nodules,provide reference for clinical pathological examination,avoid missed diagnosis and meaningless pathological examination,and improve diagnosis,so which has a high clinical value.

关 键 词：甲状腺结节良恶性 超声检查 钙化灶分型 鉴别 临床价值 

分 类 号：R445.1[医药卫生—影像医学与核医学]