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时间:2020-05-15
《甲状腺弥漫性病变合并甲状腺癌的超声诊断价值.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、中国医学科学院学报ACIlAACADEMIAEMEDICINAESINICAE·论著·甲状腺弥漫性病变合并甲状腺癌的超声诊断价值张艳,罗渝昆,唐杰,李民,王知力,温泉中国人民解放军总医院超声科,北京100853通信作者:罗渝昆电话:010-66939533,电子邮件:lyk301@163.coln摘要:目的探讨超声检查对甲状腺弥漫性病变合并结节的诊断价值。方法对148例甲状腺弥漫性病变合并可疑恶性结节的患者进行超声引导下穿刺活检,并将超声诊断与病理结果进行对照。结果148例患者中,44例为桥本氏病,104例为Grave’S病。超声共检出15
2、1个可疑病灶,病理结果显示48个病灶为良性,103个病灶为恶性。另外,13个癌灶术前超声诊断为良性,在因其他可疑恶性或经穿刺活检证实为恶性的结节行手术切除后病理发现。术前超声对甲状腺弥漫性病变合并癌的检出率为68.21%,误诊率为31.79%。患者的性别(P=0.36)、结节数目(P=0.08)及血流分型(P=0.080)在良恶性组问差异无统计学意义。结节的内部回声(P=0.040)、边界(P=0.000)、形态(P=0.001)及钙化形态(P=0.000)在良恶性组间差异有统计学意义。含有强回声钙化的病灶中,恶性比例为80.74%。结论灰
3、阶超声特征可为甲状腺弥漫性病变合并结节的鉴别诊断提供帮助,对于峡部及多发结节尤须提高警惕。关键词:甲状腺癌;超声;结节中图分类号:R445.1文献标志码:A文章编号:1000—503X(2015)03—0290—04D0I:10.3881/j.issn.1000-503X.2015.03.008ClinicalValueofUltrasonographyinDiagnosingDifuseThyroidDiseasesAccompaniedwithSuspiciousNodulesZHANGYan,LUOYu-kun,TANGJie,LIM
4、in,WANGZhi—li,WENQuanDepartmentofUltrasound,ChinesePLAGeneralHospital,Beijing100853,ChinaCorrespondingauthor:LUOYu—kunTel:010-66939533,E-mail:lyk301@163.cornABSTRACT:ObjectiveToinvestigatethediagnosticvalueofuhrasonographyfordiffusethyroiddiseaseaccompaniedwithsuspiciousno
5、dules.MethodsAtotalof148patientswithdiffusethyroiddiseasesaccompa-niedwithsuspiciousnodulesunderwentbothuhrasonographyandultrasound-guidedbiopsy,andtheresuhswereanalyzedandcompared.ResultsAmongthese148patients,44hadHashimoto’Sthyroiditisand104hadGraves’disease.Totally151su
6、spiciouslesionsweredetectedbyuhrasonography,amongwhich48lesionswerepathologicallyconfirmedtobebenignand103malignant.Thi~eenmalignantlesionswerediagnosedasbenignbypre—operativeuhrasonography,whichwereconfirmedtobemalignantafterthesurgicalresectionduetootherSUS—pectedoreonfi
7、rmedmalignantlesions.Thedetectionrateofdifusethyroiddiseaseaccompaniedwiththyroidcancerbyper—operativeultrasoundwas68.21%.andthemisdiagnosisratewas31.79%.Thegenderofpatients(P=0.36),numberofnodules(P=0.08),andbloodflowtypesinlesions(P=0.080)hadnosignificantdiferencebetween
8、thebenignandmalignantgroups,whereasinternalecho(P=0.040),margin(P=基金项目:国家自然科学基金(81471681)
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