摘要
目的探讨超声检查在甲状腺乳头状癌诊断中的临床应用价值。方法对238例患者的266个甲状腺乳头状癌灶超声图像特征作回顾性研究,分析超声图像特征对甲状腺乳头状癌的诊断价值。结果共266个癌灶,癌灶≤0.5cm48个,0.6~1.0cm个128,>1.0癌灶90个,其中微小癌176个。实质性低回声结节248个,有微钙化150个,边界不清112个,未见血流信号的152个,可见血流信号的52个,血流信号丰富的42个,伴颈淋巴结肿大70例,形态不规则66个。结论甲状腺结节表现为低回声,伴有微钙化,边界不清,伴有颈部异常淋巴结或形态不规则的需高度怀疑为甲状腺乳头状癌。
Objective To investigate the clinical application value of ultrasonography in the diagnosis of thyroid papil ary carcinoma.Methods 238 patients with cancer(266 thyroid papil ary carcinomas)were retrospectively studied,analysis of the value of ultrasound image features in the diagnosis of thyroid papil ary carcinoma.Results A total of 266 thyroid papil ary carcinomas,in which,48 cancer less than 0.5cm,128 between 0.6cm and 1.0cm,90 more then 1.0cm,176 were the Tiny cancers.248 show Substantial hypoechoic nodules,150 show micro calcification,112 show the boundaries were not clear,152 show no blood flow signal,52 show visible blood flow signal,42 show abundant blood flow signal,70 accompanied by abnormal neck lymph nodes,66 show ir egular shape.Conclusion Thyroid nodules showed low echo,accompanied by micro calcification,the boundary was not clear,accompanied by abnormal neck lymph node or ir egular shape should be highly suspected of thyroid papil ary carcinoma.
作者
王士平
姚胜
WANG Shi-ping;YAO Sheng(Department of General Surgery,Suqian City First People's Hospital,Suqian223899,Jiangsu,China;Department of General Surgery,First AffiliatedHospital of PLA General Hospital,Beijing100048,China)
关键词
彩色多普勒超声
甲状腺乳头状癌
Color Doppler ultrasonography
Thyroid papil ary carcinoma
作者简介
通讯作者:姚胜,男,1968-02-22,解放军总医院第一附属医院,北京100048,普通外科主任医师外科学,2398605158@qq.com
