四维彩超联合促甲状腺激素在诊断甲状腺癌中临床价值.doc

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1、四维彩超联合促甲状腺激素在诊断甲状腺癌中临床价值［摘要］目的评价高频彩超联合促甲状腺激素在甲状腺癌诊断中的价值，进一步提高诊断准确率，减少误、漏诊率。方法分析2010年1月〜2011年12月在我院就诊的甲状腺癌患者45例，将上述患者按照随机对照原则分为A组（25例）和B组（20例），其中A组患者术前进行彩超诊断，B组患者术前进行四维彩超联合促甲状腺激素诊断，对两组患者的诊断率进行比较。结果A组患者彩超诊断甲状腺癌14例（56.0%）,未能确定良恶性6例（24.0%）,误诊为良性病变5例（20.0%）oB组患者四维彩超联合促甲状腺激素诊断甲状腺癌

2、18例（90.0%）,未能确定良恶性1例（5.0%）,误诊为良性病变1例（5.0%）。两组患者之间诊断率比较，差异具有统计学意义（x2=6.252,P<0.05）o结论甲状腺癌的超声表现具有一定的特征性，应用四维彩超联合促甲状腺激素诊断甲状腺癌具有重要的临床价值。［关键词］四维彩超；促甲状腺激素；甲状腺癌；诊断［中图分类号］R736.1［文献标识码］B［文章编号］1673-7210（2012）07（c）-0098-02Valueoffour-dimensionalcolorDopplerultrasoundcombinedwiththyroid

3、stimulatinghormoneindiagnosisofthyroidcancerGANXiaohaiZENGXianmingDepartmentofFirstSurgery,QishiHospitalofDongguanCity,GuangdongProvince,Dongguan523500,China[Abstract]ObjectiveToevaluatehighfrequencyultrasonographycombinedwithTSHinthyroidcancerdiagnosistofurtherimprovetheacc

4、uracyofdiagnosis,reduceerrorandtherateofmisseddiagnosis・Methods45casespatientswiththyroidcancerfromJanuary2010toDecember2011inourhospitalwereanalyzed・ThepatientsaccordingtotherandomandcontrolprincipledividedintogroupA(n二25)andgroupB(n=20).GroupAwerediagnosedbycolorDopplerult

5、rasoundbeforeoperation,whilegroupBwerediagnosedbypreoperativefour-dimensionedcolorDopplerultrasoundcombinedwithTSHdiagnosis・Thencomparedthediagnosisrateoftwogroupsofpatients.ResultsIntheAgroup,patientswithcolorDopplerultrasoundindiagnosisofthyroidcarcinomawere14cases(56%).Fi

6、lingtoidentifybenignandmalignantwere6cases(24%)・5casesweremisdiagnosedasbenignlesion(20%)・ThepatientsintheBgroupfour-dimensionalcolorDopplerultrasoundcombinedwithTSHindiagnosisofthyroidcarcinomawere18cases(90%)・Filingtoidentifybenignandmalignantwas1case(5%)・1casewasmisdiagno

7、sedasbenignlesion(5%)・Therewasstatisticaldifferencebetweentwogroups(%2二6.252,P<0.05)・ConclusionThyroidcarcinomawithultrasonographyhascertaincharacteristics.Four-dimensionalcolorDopplerultrasoundcombinedwithTSHindiagnosisofthyroidcancerhasimportantclinicalvalue・[Keywords]Four

8、-dimensionalcolorDopplerultrasound；TSH；ThyroidCancer；Diagniosis甲状腺癌是人体内分泌系统