摘要
目的探讨彩色多普勒超声检查在甲状腺乳头状癌(PTC)患者临床诊断中的应用效果。方法选取2016年1—12月在本院超声科接受检查的52例疑似PTC患者作为实验组,另选同期52例甲状腺良性肿瘤患者作为对照组。两组患者均采用彩色多普勒超声检查,对比观察两组患者甲状腺超声图像特征。结果彩色多普勒超声诊断PTC准确率为82.7%(43/52);PTC患者的血流信号分布以Ⅲ型为主,达到76.9%(40/52),而甲状腺良性肿瘤患者血流信号分布主要以Ⅱ型为主,达到65.4%(34/52)。实验组患者结节形态不规则、边界不清晰、低回声及淋巴结无肿大患者所占比例均明显高于对照组,差异具有统计学意义(P<0.05)。结论彩色多普勒超声在PTC临床诊断中具有较高的准确率。
Objective To investigate the application of color doppler ultrasound in the clinical diagnosis of papillary thyroid carcinoma. Methods Fifty-two suspected PTC patients who were examined by the Department of Ultrasound in our hospital from January to December 2016 were selected as the experimental group, another fifty-two patients with thyroid benign tumors were selected as controls during the same periodand. Two groups were examined by color doppler ultrasound, and the characteristics of thyroid ultrasound images were compared between them. Results The accuracy of color doppler ultrasonography in the diagnosis of PTC was 82.7%（43/52）. The distribution of blood flow signals in PTC patients was dominated by type III, reaching 76.9%（40/52）, whereas the distribution of blood flow signals in benign thyroid tumors was mainly type II, reaching 65.4%（34/52）. The proportion of patients with irregular nodules, unclear boundaries, hypoechoic and no enlarged lymph nodes was significantly higher in the observation group than in the control group,the difference were statistically significant（P 〈 0.05）. Conclusion Color doppler ultrasound has a high accuracy in the diagnosis of papillary thyroid carcinoma.
作者
张霞
魏珊红
王谦
ZHANG Xia;WEI Shanhong;WANG Qian(Department of Ultrasound,Xuhui District Central Hospital of Shanghai,Shanghai 200031,China)
出处
《中国卫生标准管理》
2018年第17期114-116,共3页
China Health Standard Management
关键词
彩色多普勒超声
甲状腺乳头状癌
血流信号
临床诊断
效果
color doppler ultrasound
papillary thyroid carcinoma
blood flow signal
clinical diagnosis
effect
