彩色多普勒超声在甲状腺肿瘤诊断中的应用.pdf

《彩色多普勒超声在甲状腺肿瘤诊断中的应用.pdf》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、中Ill民族民间医药临床研究·60·ChinesejournalofethnomedicineandethnopharmacyClinicalresearch彩色多普勒超声在甲状腺肿瘤诊断中的应用王东宁陶杨广东省深圳市龙岗区第二人民医院体检科超声室，广东深圳518000【摘要】目的：探讨彩色多普勒超声(CDFI)在诊断甲状腺肿瘤的应用效果。方法：选取甲状腺肿瘤患者93例，按照其肿瘤良、恶性分为腺瘤组和腺癌组。比较两组患者肿瘤形态学、钙化特性、血液动力学特性。结果：腺瘤组肿瘤形态多表现为边界清晰、边缘较为光滑、回声均匀，而腺癌组肿瘤表现为边界模糊、边缘粗糙、回声不均(P

2、05)，囊性变差异无统计学意义(P>0．05)；腺瘤组钙化率低于腺癌组(P<0．05)，腺瘤组钙化表现为边缘钙化，腺癌组表现为弥散微钙化；腺瘤组收缩期峰值血流速度(PSV)、阻力指数(RI)低于腺癌组(P0．05)。结论：CDFI对甲状腺肿瘤的早期诊断具有重要应用价值。【关键词】彩色多普勒超声；甲状腺肿瘤；腺癌【中图分类号】R736．1【文献标志码】A【文章编号】1007—8517(2015)12—0060—03StudyontheclinicalapplicationofcolorDopplerultrasoundind

3、iagnosisofthyroidtumorWANGDongningTAOYangTheultrasoundroomofthedepartmentofphysicalexaminationoftheSecondPeople~HospitalinLong,gangDistrictofShenzhencity，Guangdong518000Abstract：ObjectiveToinvestigatetheapplicationofcolorDopplerultrasound(CDFI)indiagnosisofthyroidtumors．Methods93casesofpat

4、ientswiththyroidcancerwereselectedanddividedintothyroidadenomagroupandthyroidcarcinomagroupaccordingtothebenigntumorormalignanttumorthetumor．Thetumormorphologycharacteristics，calcificationandhemodynamiccharacteristicsinthepatientsoftwogroupswerecompared．ResultsThetumormorphologyinthepatien

5、tsofthethyroidadenomagroupshowedtheboundarywasclear，theedgewassmoothandthattheechoeswereevenwhilethetumormorphologyinthepatientsofthethyroidcarci—nomagroupshowedtheboundarywasfuzzy，theedgewasroughandthattheechoeswereuneven(P<0．05)．Therewasnosignifi—cantdiferenceincysticchange(P>0．05)．Theca

6、lcificationrateoftheadenomagroupwaslowerthanthatofthecarcinomagroup(P<0．05)．Calcificationoftheadenomagroupshowedmarginalcalcificationwhilecalcificationofthecarcinomagroupshowedmicro-cal-cification．Thepeaksystolicvelocity(PSV)andresistanceindex(RI)oftheadenomagroupwaslowerthanthoseofthecarc

7、inomagroup(P<0．05)．Therewasnodiferencebetweenend—diastolevelocity(EDV)(P>0．05)．ConclusionCDFIhasthemostim—portantvalueindiagnosisoftheearlythyroidtumor．Keywords：colorDopplerultrasound(CDFI)；thyroid；tumor甲状腺肿瘤是人体头颈部的恶性肿瘤，约占身体肿瘤边界、囊性变、边缘、回声等；②观察肿块的钙化情况。的1％左右⋯。好发