[1]姜 陽.甲狀腺結節的超聲診斷及超聲征象分析[J].醫學信息,2019,(20):172-174.[doi:10.3969/j.issn.1006-1959.2019.20.055]
 JIANG Yang.Ultrasound Diagnosis and Ultrasonographic Analysis of Thyroid Nodules[J].Medical Information,2019,(20):172-174.[doi:10.3969/j.issn.1006-1959.2019.20.055]
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甲狀腺結節的超聲診斷及超聲征象分析()
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醫學信息[ISSN:1006-1959/CN:61-1278/R]

卷:
期數:
2019年20期
頁碼:
172-174
欄目:
診療技術
出版日期:
2019-10-15

文章信息/Info

Title:
Ultrasound Diagnosis and Ultrasonographic Analysis of Thyroid Nodules
文章編號:
1006-1959(2019)20-0172-03
作者:
姜 陽
(佳木斯市中心醫院物理診斷科,黑龍江 佳木斯 154002)
Author(s):
JIANG Yang
(Department of Physical Diagnosis,Jiamusi Central Hospital,Jiamusi 154002,Heilongjiang,China)
關鍵詞:
甲狀腺結節超聲診斷超聲征象
Keywords:
Thyroid nodulesUltrasound diagnosisUltrasound signs
分類號:
R445.1
DOI:
10.3969/j.issn.1006-1959.2019.20.055
文獻標志碼:
A
摘要:
目的 分析甲狀腺結節的超聲診斷及超聲征象特點。方法 回顧性分析2018年3月~2019年3月在我院診治的50例(62個甲狀腺結節)甲狀腺結節并行手術治療的患者臨床資料,術前均行超聲診斷,比較超聲檢查與手術病理對結節分型的診斷率、良惡性結節的診斷率、良惡性結節超聲診斷指標(邊界不清楚、形態不規則、內部回聲低、無聲暈、有鈣化、縱橫比≥1)發生率、良惡性結節血流信號分布情況,結果 超聲診斷50例,62個甲狀腺結節與術后病理結果比較,差異無統計學意義(P>0.05);良性(72.58%)和惡性結節(27.41%)超聲診斷率分別與術后病理診斷率69.35%、30.64%比較,差異無統計學意義(P>0.05), 惡性結節超聲診斷指標邊界不清楚、形態不規則、內部回聲低、無聲暈、有鈣化、縱橫比≥1發生率與良性結節比較,差異有統計學意義(P<0.05);甲狀腺良性結節血流信號分布少于惡性結節,差異有統計學意義(P<0.05)。結論 超聲診斷甲狀腺結節準確率高,對患者無創傷、操作簡單,且可顯示良惡性結節超聲征象特點,為良惡性鑒別診斷提供可靠的參考依據,具有重要的臨床應用價值。
Abstract:
Objective To analyze the ultrasound diagnosis and characteristics of ultrasound signs of thyroid nodules.Methods Retrospective analysis of clinical data of 50 patients (62 thyroid nodules) treated with thyroid nodules in our hospital from March 2018 to March 2019. All patients underwent ultrasound diagnosis before surgery, comparing ultrasound and surgical pathology. Diagnostic rate of nodule classification, diagnosis rate of benign and malignant nodules, ultrasound diagnosis index of benign and malignant nodules (irregular shape, unclear boundary, low internal echo, calcification, no halo, aspect ratio ≥1) , the distribution of blood flow signals of benign and malignant nodules.Results Ultrasound diagnosis of 50 cases, 62 thyroid nodules compared with postoperative pathological results, the difference was not statistically significant (P>0.05); benign (72.58%) and malignant nodules (27.41%) ultrasound diagnosis rate and postoperative pathological diagnosis The rate was 69.35% and 30.64%,the difference was not statistically significant (P>0.05). The malignant nodule ultrasound diagnosis index was irregular in shape, the boundary was unclear, the internal echo was low, there was calcification, no stun, and the aspect ratio ≥1 occurred. Compared with benign nodules, the difference was statistically significant (P<0.05); the distribution of blood flow signals in benign nodules of thyroid nodules was less than that of malignant nodules,the difference was statistically significant (P<0.05).Conclusion Ultrasound diagnosis of thyroid nodules has high accuracy, no trauma to patients, simple operation, and can show the characteristics of benign and malignant nodules. It provides a reliable reference for differential diagnosis of benign and malignant and has important clinical application value.

參考文獻/References:

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更新日期/Last Update: 2019-10-15
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