医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2014年
36期
104-104
,共1页
彩色多普勒超声%甲状腺乳头状癌
綵色多普勒超聲%甲狀腺乳頭狀癌
채색다보륵초성%갑상선유두상암
Color Doppler ultrasonography%Thyroid papil ary carcinoma
目的探讨超声检查在甲状腺乳头状癌诊断中的临床应用价值。方法对238例患者的266个甲状腺乳头状癌灶超声图像特征作回顾性研究，分析超声图像特征对甲状腺乳头状癌的诊断价值。结果共266个癌灶，癌灶≤0.5cm48个，0.6~1.0cm个128，>1.0癌灶90个，其中微小癌176个。实质性低回声结节248个，有微钙化150个，边界不清112个，未见血流信号的152个，可见血流信号的52个，血流信号丰富的42个，伴颈淋巴结肿大70例，形态不规则66个。结论甲状腺结节表现为低回声，伴有微钙化，边界不清，伴有颈部异常淋巴结或形态不规则的需高度怀疑为甲状腺乳头状癌。
目的探討超聲檢查在甲狀腺乳頭狀癌診斷中的臨床應用價值。方法對238例患者的266箇甲狀腺乳頭狀癌竈超聲圖像特徵作迴顧性研究，分析超聲圖像特徵對甲狀腺乳頭狀癌的診斷價值。結果共266箇癌竈，癌竈≤0.5cm48箇，0.6~1.0cm箇128，>1.0癌竈90箇，其中微小癌176箇。實質性低迴聲結節248箇，有微鈣化150箇，邊界不清112箇，未見血流信號的152箇，可見血流信號的52箇，血流信號豐富的42箇，伴頸淋巴結腫大70例，形態不規則66箇。結論甲狀腺結節錶現為低迴聲，伴有微鈣化，邊界不清，伴有頸部異常淋巴結或形態不規則的需高度懷疑為甲狀腺乳頭狀癌。
목적탐토초성검사재갑상선유두상암진단중적림상응용개치。방법대238례환자적266개갑상선유두상암조초성도상특정작회고성연구，분석초성도상특정대갑상선유두상암적진단개치。결과공266개암조，암조≤0.5cm48개，0.6~1.0cm개128，>1.0암조90개，기중미소암176개。실질성저회성결절248개，유미개화150개，변계불청112개，미견혈류신호적152개，가견혈류신호적52개，혈류신호봉부적42개，반경림파결종대70례，형태불규칙66개。결론갑상선결절표현위저회성，반유미개화，변계불청，반유경부이상림파결혹형태불규칙적수고도부의위갑상선유두상암。
Objective To investigate the clinical application value of ultrasonography in the diagnosis of thyroid papil ary carcinoma.Methods 238 patients with cancer (266 thyroid papil ary carcinomas)were retrospectively studied,analysis of the value of ultrasound image features in the diagnosis of thyroid papil ary carcinoma.Results A total of 266 thyroid papil ary carcinomas,in which,48 cancer less than 0.5cm,128 between 0.6cm and 1.0cm,90 more then 1.0cm,176 were the Tiny cancers.248 show Substantial hypoechoic nodules,150 show micro calcification,112 show the boundaries were not clear,152 show no blood flow signal,52 show visible blood flow signal,42 show abundant blood flow signal,70 accompanied by abnormal neck lymph nodes,66 show ir egular shape.Conclusion Thyroid nodules showed low echo,accompanied by micro calcification,the boundary was not clear,accompanied by abnormal neck lymph node or ir egular shape should be highly suspected of thyroid papil ary carcinoma.
