中华内分泌外科杂志
中華內分泌外科雜誌
중화내분비외과잡지
CHINESE JOURNAL OF ENDOCRINE SURGERY
2014年
4期
316-318
,共3页
钙化灶%甲状腺结节%超声检查%病理学
鈣化竈%甲狀腺結節%超聲檢查%病理學
개화조%갑상선결절%초성검사%병이학
Calcification%Thyroid nodules%Ultrasonography%Pathology
目的：探讨钙化在诊断甲状腺肿块性质中的意义，提高对甲状腺结节良恶性的鉴别能力。方法回顾性分析滨州市中心医院2008年1月至2012年12月收治的286例甲状腺肿块患者临床资料，术前行超声检查，重点观察结节内有无钙化，分析不同钙化的特点，与术后病理结果作对照。结果超声检查与病理结果对照分析显示：钙化组和无钙化组在甲状腺癌的检出率差异有统计学意义（66.98％ vs 13.51％，P＜0.05）；微小钙化组甲状腺癌的检出率明显高于粗大钙化组（84.42％ vs 20.69％，P＜0.05）；2类型钙化组中良恶性结节的检出率差异有统计学意义（P＜0.05），恶性结节的检出率高于良性结节；无钙化组和粗大钙化组在甲状腺癌的检出率方面无统计学意义（ P＞0.05）。结论甲状腺内钙化尤其是微小钙化对甲状腺癌的诊断具有重要的指导意义。
目的：探討鈣化在診斷甲狀腺腫塊性質中的意義，提高對甲狀腺結節良噁性的鑒彆能力。方法迴顧性分析濱州市中心醫院2008年1月至2012年12月收治的286例甲狀腺腫塊患者臨床資料，術前行超聲檢查，重點觀察結節內有無鈣化，分析不同鈣化的特點，與術後病理結果作對照。結果超聲檢查與病理結果對照分析顯示：鈣化組和無鈣化組在甲狀腺癌的檢齣率差異有統計學意義（66.98％ vs 13.51％，P＜0.05）；微小鈣化組甲狀腺癌的檢齣率明顯高于粗大鈣化組（84.42％ vs 20.69％，P＜0.05）；2類型鈣化組中良噁性結節的檢齣率差異有統計學意義（P＜0.05），噁性結節的檢齣率高于良性結節；無鈣化組和粗大鈣化組在甲狀腺癌的檢齣率方麵無統計學意義（ P＞0.05）。結論甲狀腺內鈣化尤其是微小鈣化對甲狀腺癌的診斷具有重要的指導意義。
목적：탐토개화재진단갑상선종괴성질중적의의，제고대갑상선결절량악성적감별능력。방법회고성분석빈주시중심의원2008년1월지2012년12월수치적286례갑상선종괴환자림상자료，술전행초성검사，중점관찰결절내유무개화，분석불동개화적특점，여술후병리결과작대조。결과초성검사여병리결과대조분석현시：개화조화무개화조재갑상선암적검출솔차이유통계학의의（66.98％ vs 13.51％，P＜0.05）；미소개화조갑상선암적검출솔명현고우조대개화조（84.42％ vs 20.69％，P＜0.05）；2류형개화조중량악성결절적검출솔차이유통계학의의（P＜0.05），악성결절적검출솔고우량성결절；무개화조화조대개화조재갑상선암적검출솔방면무통계학의의（ P＞0.05）。결론갑상선내개화우기시미소개화대갑상선암적진단구유중요적지도의의。
Objective To explore the significance of calcification in diagnosis of thyroid mass , and to improve the differential diagnosis of benign and malignant thyroid nodules .Methods 286 cases with thyroid masses admitted to the hospital from Jan .2008 to Dec.2012 underwent preoperative ultrasound scan .The clinical data were retrospectively analyzed from patients with or without calcification , the characteristics of different calci-fication and the comparison between preoperative diagnosis and postoperative pathological results .Results Ultra-sound and pathological analysis showed there was significant difference between calcification group and non -calci-fication group in detection rate of thyroid cancer (66.98%vs 13.51%, P<0.05).Detection rate of thyroid car-cinoma was significantly higher in microcalcification group than in coarse calcification group ( 84.42% vs 20.69%,P<0.05) .There was significant difference in detection rate of benign and malignant nodules in the two types of calcification group(P<0.05).The detection rate was higher in the malignant nodules than in the benign nodules .The detection rate of thyroid cancer had no statistical significance in non-calcification group and coarse calcification group ( P>0.05 ) .Conclusion Thyroid calcification , especially microcalcification has important significance in diagnosis of thyroid cancer .
