CAJ | 학술논문

目的探讨超声附加绘图定位甲状腺微小结节在临床中的应用价值.方法选取88例(137个结节)甲状腺微小结节患者,按照就诊次序,依次分为两组:绘图组46例(68个结节),对照组42例(69个结节),进行对照研究,纳入标准为结节直径≤1 cm,两组术前行常规超声检查,绘图组附加绘图定位微小结节,附加绘图方法为甲状腺纵切面六分法和甲状腺横切面四分法,对照组未行绘图.比较两组患者在术中医生能否准确依据超声检查提供的绘图找到结节以及术后复查结节残留的情况.结果两组超声诊断准确率为81.8％ (69/88)；术中绘图组结节全部准确找到,对照组4例(4个结节)未找到；术后3个月复查超声,绘图组未发现结节残留,对照组发现4个超声可疑恶性结节残留.结论超声检查附加绘图,术前精准定位甲状腺微小结节,指导临床医师术中准确、快速找到结节,制定合理化手术方案,以期达到治愈肿瘤的目的.
목적 탐토초성부가회도정위갑상선미소결절재림상중적응용개치.방법 선취88례(137개결절)갑상선미소결절환자,안조취진차서,의차분위량조:회도조46례(68개결절),대조조42례(69개결절),진행대조연구,납입표준위결절직경≤1 cm,량조술전행상규초성검사,회도조부가회도정위미소결절,부가회도방법위갑상선종절면륙분법화갑상선횡절면사분법,대조조미행회도.비교량조환자재술중의생능부준학의거초성검사제공적회도조도결절이급술후복사결절잔류적정황.결과 량조초성진단준학솔위81.8％ (69/88)；술중회도조결절전부준학조도,대조조4례(4개결절)미조도；술후3개월복사초성,회도조미발현결절잔류,대조조발현4개초성가의악성결절잔류.결론 초성검사부가회도,술전정준정위갑상선미소결절,지도림상의사술중준학、쾌속조도결절,제정합이화수술방안,이기체도치유종류적목적.
Objective To evaluate the application value of preoperative ultrasound-guided drawing for locating thyroid micronodule in surgery.Methods A total of 88 patients (with 137 thyroid micronodules) who underwent thyroid surgery was included in the prospective study.Preoperative thyroid ultrasound was conducted in all patients.Select criteria:the maximum diameter of nodule ≤ 1 cm.All patients were randomly divided into two groups:46 patients (68 micronoduls) in experimental group with ultrasound-guided drawing location of thyroid micronodule and 42 patients (69 micronoduls) in control group without ultrasound-guided drawing location of thyroid micronodule.Results All thyroid micronodules of experimental group were found quickly and accurately in surgery,and 4 micronodules in 4 patients of control group were not found in surgery.US examinations 3 months after surgery showed that all micronodules in experimental group were completely removed and 4 micronodules in control group retained.Conclusion Ultrasound-guided drawing is a useful technique for locating and searching accurately thyroid micronodule in surgery.