甲状腺肿瘤的超声诊断及临床应用研究  

Ultrasound diagnosis and clinical application of thyroid tumors

作　　者：魏小玲 李枝鸣 刘敏 叶永生 曾婷 WEI Xiaoling;LI Zhiming;LIU Min;YE Yongsheng;ZENG Ting(Ultrasound Department,the First People's Hospital of Nankang District,Ganzhou,Jiangxi 341400,China)

机构地区：[1]赣州市南康区第一人民医院超声科,江西赣州341400

出　　处：《影像研究与医学应用》2023年第20期23-25,共3页Journal of Imaging Research and Medical Applications

基　　金：赣州市科技计划项目(20222ZDX9461)。

摘　　要：目的:分析超声诊断甲状腺肿瘤的应用价值。方法:选取2022年6月—12月赣州市南康区第一人民医院收治的甲状腺肿瘤患者52例,均接受超声诊断,以病理结果为金标准,分析二维超声与彩色多普勒超声的结果,比较灵敏度、特异度及准确率;比较良恶性肿瘤血流动力学参数及血流信号分级。结果:彩色多普勒超声诊断方式诊断灵敏度、特异度及准确率均显著高于二维超声(P<0.05);恶性肿瘤血流速度(PSV)、收缩期峰值速度/舒张末期血流速度(S/D)值高于良性肿瘤,搏动指数(PI)、阻力指数(RI)低于良性肿瘤,差异有统计学意义(P<0.05);恶性肿瘤患者血流信号Ⅲ级占比显著高于良性肿瘤,0级占比显著低于良性肿瘤,差异有统计学意义(P<0.05)。结论:对甲状腺良恶性肿瘤诊断,超声检测能够较为清晰地对患者甲状腺腺体进行观察,为患者后续诊治提供诊断依据,临床可进一步推广运用。Objective To analyze the application effect of ultrasound in the diagnosis of thyroid tumor.Methods Fifty-two patients with thyroid tumor admitted to the First People's Hospital of Nankang District in Ganzhou City from June to December 2022 were selected and all of them received ultrasound diagnosis.The results of two-dimensional ultrasound and color Doppler ultrasound were analyzed with pathological results as the gold standard,and the sensitivity,specificity and accuracy were compared.The hemodynamic parameters and blood flow signal classification of benign and malignant tumors were compared.Results The diagnostic sensitivity,specificity and accuracy of color Doppler ultrasound were significantly higher than those of two-dimensional ultrasound(P<0.05),the blood flow velocity(PSV)and peak systolic velocity/end-diastolic blood flow velocity(S/D)of malignant tumors were higher than those of benign tumors,and the pulsatility index(PI)and resistance index(RI)were lower than those of benign tumors.The difference was statistically significant(P<0.05),the proportion of blood flow signal grade III.in patients with malignant tumors was significantly higher than that of benign tumors,and the proportion of grade 0 was significantly lower than that of benign tumors(P<0.05).Conclusion For the diagnosis of benign and malignant thyroid tumors,ultrasound detection can clearly observe the thyroid gland of patients,provide a favorable diagnostic basis for the follow-up diagnosis and treatment of patients,and can be further promoted and applied in clinic.

关 键 词：甲状腺肿瘤 超声诊断 血流动力学参数 应用研究 

分 类 号：R445.1[医药卫生—影像医学与核医学]