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时间:2019-05-24
《超声评估甲状腺结节内钙化的初步探讨》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、万方数据主垦塑重堕堂盘查!!!!年9月第垫卷第9期chineseJultrasoundMedV01.28No.9september20123.彩色多普勒超声检查的优势彩色多普勒超声检查通过对病变大小、形态、边界、内部回声及血流等情况的观察H],结合临床表现不仅可迅速对泪腺炎型炎性假瘤作出诊断,还可实时引导下局部药物注射治疗、反复追踪观察疗效,及时改进完善治疗方案。结论彩色多普勒超声诊断泪腺炎型炎性假瘤安全、准确,且可为临床治疗、疗效评估提供准确信息,因此成为本病首选的影像学检查方法。[1][2][3][4]参考文献一789一孙丰源
2、,宋国祥.眼与眼眶疾病超声诊断.北京:人民卫生出版社,2010,5:230.杨文利,王宁利.眼超声诊断学.北京:科学技术文献出版社,2007,6:240.孙丰源,宋国祥.眼与眼眶疾病超声诊断.北京:人民卫生出版社,2010,5:235—236.杨文利,魏文斌,王兰,等.常见泪腺疾病的彩色多普勒血流显像诊断分析.中华超声影像学杂志,2004,13:927—929.(2011一07—27收稿,2011一09—14修回)超声评估甲状腺结节内钙化的初步探讨徐上妍詹维伟周建桥周萍摘要目的评估不同标准的钙化对甲状腺结节良恶性鉴别的影响。方法收
3、集本院3年问共1026例甲状腺手术患者,结节共1107个。术前行超声检查并记录钙化大小和分布类型。在回顾性分析中,分别以直径d≤o.5mm、d≤1.omm和d≤2.omm为微钙化标准,分别统计其对良恶性鉴别的价值;另外,将钙化分布类型分为3组(中央型、边缘型和混合型),统计其与结节良恶性的关系。结果1107个结节中,存在钙化的共513个(良性184,恶性329)。钙化大小方面,当定义微钙化为O4、,中央型钙化多见于恶性结节(74.4%)。结论钙化对鉴别结节良恶性具有重要意义。不同大小和分布类型的钙化,其鉴别诊断的价值也不同。关键词超声甲状腺结节钙化AStudyofCalcificatiOninThyroidNodulesbyUltrasoundXuShangyan,ZhanWeiwei,ZhouJianqia。,eta1.DepartmentofUltrasonography,RuijinHospital,ShanghaiJiaotongUniversitySch001ofMedicine,Shanghai200025Ch5、inaAbstract:oboectiveToassessimpactofdifferentstandardsofcalcificationinidentifyingthenatureofthyroidnodules.MethodsAtotalof1107thyroidnodulesin1026patientswereinv01ved.Aregularultrasoundexaminationwascarriedoutbeforesurgery.Duringtheexamination,thesizeanddistribution6、typeofcalcificationinthyroidnoduleswererecorded.Intheretrospectiveanalysis,wede“nedthemicrocalcificationasthreedifferentstandards(O<:d≤≤O·5mm,d≤1.Omm,d≤2.Omm)anddiVidedthedistributiontypeofcalcificationintothreegroups(central/marginal/mixed).ResultsAmongthe1107nodules7、,calcificationwasfoundin513n。dules(184werebenignand329werema一1ignant).Asthesizestandard,whenmicrocalcificationwasdefinedaso<:d≤O.5mm,ltsspecificlty(95.7%)andpositiVepredictiVeValue(95r1%)werethehighestforpredictingmahgnancy.Asthedistributiontype,marginalcalci—ficati。n8、wasmoreinbenignnodules(89.5%)andcentralcalcificationwasmoreinmalignantnodules(74.4%).Con—cIusionsCaIcificationplaysanimporta
4、,中央型钙化多见于恶性结节(74.4%)。结论钙化对鉴别结节良恶性具有重要意义。不同大小和分布类型的钙化,其鉴别诊断的价值也不同。关键词超声甲状腺结节钙化AStudyofCalcificatiOninThyroidNodulesbyUltrasoundXuShangyan,ZhanWeiwei,ZhouJianqia。,eta1.DepartmentofUltrasonography,RuijinHospital,ShanghaiJiaotongUniversitySch001ofMedicine,Shanghai200025Ch
5、inaAbstract:oboectiveToassessimpactofdifferentstandardsofcalcificationinidentifyingthenatureofthyroidnodules.MethodsAtotalof1107thyroidnodulesin1026patientswereinv01ved.Aregularultrasoundexaminationwascarriedoutbeforesurgery.Duringtheexamination,thesizeanddistribution
6、typeofcalcificationinthyroidnoduleswererecorded.Intheretrospectiveanalysis,wede“nedthemicrocalcificationasthreedifferentstandards(O<:d≤≤O·5mm,d≤1.Omm,d≤2.Omm)anddiVidedthedistributiontypeofcalcificationintothreegroups(central/marginal/mixed).ResultsAmongthe1107nodules
7、,calcificationwasfoundin513n。dules(184werebenignand329werema一1ignant).Asthesizestandard,whenmicrocalcificationwasdefinedaso<:d≤O.5mm,ltsspecificlty(95.7%)andpositiVepredictiVeValue(95r1%)werethehighestforpredictingmahgnancy.Asthedistributiontype,marginalcalci—ficati。n
8、wasmoreinbenignnodules(89.5%)andcentralcalcificationwasmoreinmalignantnodules(74.4%).Con—cIusionsCaIcificationplaysanimporta
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