甲状腺术后缝线肉芽肿与复发肿瘤超声特征对比研究  

A Comparative Study of the Ultrasonographic Characteristics of Suture Granulomas and Recurrent Tumors After Thyroidectomy

作　　者：吴光华 廖春旭 李旭巍 张慧娟 肖自堪 Wu Guanghua;Liao Chunxu;Li Xuwei;Zhang Huijuan;Xiao Zikan(Department of Ultrasound,Affiliated Sanming First Hospital of Fujian Medical University,Sanming,Fujian 365000,China)

机构地区：[1]福建医科大学附属三明第一医院超声医学科,福建省三明市365000

出　　处：《中国超声医学杂志》2024年第10期1093-1096,共4页Chinese Journal of Ultrasound in Medicine

摘　　要：目的 本研究旨在对比分析甲状腺术后缝线肉芽肿和甲状腺癌术后复发肿瘤声像图特征。方法 回顾分析了经病理证实的27例缝线肉芽肿和30例甲状腺癌术后复发患者的临床病历资料及超声影像,比对两组病例超声征象差异。结果 27例缝线肉芽肿患者中,包括25例(92.6%)女性和2例男性,平均年龄(53.85±12.06)岁;30例复发肿瘤患者中,包括25例(83.3%)女性和5例男性,平均年龄(49.70±15.54)岁。缝线肉芽肿多位于气管颈动脉浅层区域(n=19,70.4%),而复发肿瘤常位于气管和颈动脉之间(n=26,86.7%),差异有统计学意义(P<0.05)。缝线肉芽肿组超声多表现为形态不规则(n=20, 74.1%)、边缘模糊(n=22,81.5%)、无明显血流(n=21,77.8%);复发肿瘤组多表现为纵横比>1(n=15,50%),可见血流信号(n=23,76.7%)。两组病例局灶性强回声均较常见,缝线肉芽肿组病灶内部局灶性强回声(n=22,81.5%)较复发肿瘤组(n=12,40%)更常见(P=0.001);缝线肉芽肿组局灶性强回声类型呈点状、线状、混合点线状,较复发肿瘤组点状单一类型较多样(P<0.001)。结论 病灶位于气管颈动脉浅层、形态不规则、乏血流、边缘模糊、线状强回声及混合点线状局灶性强回声多提示术后缝线肉芽肿,而病灶位于气管颈动脉之间、纵横比>1、内部血流信号、点状局灶性强回声单一类型多提示复发肿瘤。Objective The present study was aimed to analyze the ultrasound features of suture granulomas and recurrent tumors in post-thyroidectomy patients.Methods A retrospective analysis was conducted on the clinical records and ultrasound images of 27 cases of suture granulomas and 30 cases of recurrent thyroid carcinoma,which were confirmed by pathology.The differences in ultrasound signs between the two groups were compared.Results The 27 suture granulomas patient included 25 females(92.6%)and 2 males,with an average age of(53.85±12.06)years.The 30 recurrent tumor patients included 25 females(83.3%)and 5 males,with an average age of(49.70±15.54)years.Suture granulomas were more frequently observed in the superficial region of the trachea carotid artery(n=19,70.4%),whereas the recurrent tumors were often located between the trachea and the carotid artery(n=26,86.7%,P<0.05).Suture granulomas were mainly characterized by irregular morphology(n=20,74.1%),indistinct margins(n=22,81.5%),and absence of obvious blood flow(n=21,77.8%).Recurrent tumors were more likely to show a transverse-to-longitudinal ratio greater than 1(n=15,50%)and visible blood flow signals(n=23,76.7%).Focal internal echogenic foci was commonly observed in both groups,but suture granulomas had a higher prevalence of focal internal echogenic foci within the lesions(n=22,81.5%),compared to the recurrent tumor group(n=12,40%,P=0.001).The suture granuloma group exhibited a greater variety of focal internal echogenic foci patterns,including punctate,linear,and mixed punctate-linear,in contrast to the recurrent tumor group which predominantly showed a single punctate pattern(P<o.001).Conclusions The presence of lesions in the superficial area of the trachea carotid artery,irregular morphology,absence of blood flow,indistinct margins,linear internal echogenic foci,and mixed punctate-linear focal internal echogenic foci were more indicative of the presence of postoperative suture granulomas.In contrast,lesions situated between the trachea and carotid artery w

关 键 词：甲状腺术后 复发肿瘤 缝线肉芽肿 超声 

分 类 号：R736.1[医药卫生—肿瘤] R445.1[医药卫生—临床医学]