CAJ | 학술논문

目的：探讨彩色多普勒超声在甲状腺肿瘤诊断及鉴别诊断中的临床价值。方法对100例甲状腺肿瘤患者的彩色多普勒超声资料进行回顾性分析。结果甲状腺肿瘤病灶内的彩色血流分级情况方面，恶性甲状腺肿瘤病灶内以芋级彩色血流为主(50.00%)，良性甲状腺瘤则以玉级为主(70.31%)；甲状腺肿瘤诊断方面，诊断符合率达96.00%；良性和恶性肿瘤的超声表现方面，超声图像中的钙化表现、病灶形态、边缘形态与恶性、良性肿瘤存在一定的关联性。其中，恶性肿瘤具有小钙化病灶、形态不规则以及边缘较为模糊。而良性肿瘤则刚好相反，无钙化病灶，且形态规则，边缘也清晰有规则。结论对甲状腺肿瘤患者采用彩色多普勒超声检查的准确符合率高，能准确显示发病部位，可为诊断甲状腺肿瘤提供可靠的依据，其临床诊断价值高。
목적：탐토채색다보륵초성재갑상선종류진단급감별진단중적림상개치。방법대100례갑상선종류환자적채색다보륵초성자료진행회고성분석。결과갑상선종류병조내적채색혈류분급정황방면，악성갑상선종류병조내이우급채색혈류위주(50.00%)，량성갑상선류칙이옥급위주(70.31%)；갑상선종류진단방면，진단부합솔체96.00%；량성화악성종류적초성표현방면，초성도상중적개화표현、병조형태、변연형태여악성、량성종류존재일정적관련성。기중，악성종류구유소개화병조、형태불규칙이급변연교위모호。이량성종류칙강호상반，무개화병조，차형태규칙，변연야청석유규칙。결론대갑상선종류환자채용채색다보륵초성검사적준학부합솔고，능준학현시발병부위，가위진단갑상선종류제공가고적의거，기림상진단개치고。
Objective To evaluate the clinical value of color Doppler ultrasound in the differential diagnosis thyroid cancer. Methods All 100 cases of thyroid cancer in patients with color Doppler ultrasound were retrospectively ana-lyzed. Results Color flow grading cases of thyroid cancer lesions within the context,within malignant thyroid tumor le-sions with color flow-based Level Ⅲ(50.00%), benign thyroid tumors places dominated Class Ⅰ(70.31%); thyroid cancer diagnosis, diagnosis compliance rate reached 96.00%; ultrasound showed benign and malignant tumors, the ultrasound images show calcified lesion morphology,edge forms and malignant, benign tumors there was certain rele-vance. Among them, the cancer has a small calcified lesions, irregular edges and more blurred. The benign tumor was just the opposite, non-calcified lesions, and the shape, edges are clear rules. Conclusion Thyroid cancer patients with accurate color Doppler ultrasound compliance rate, can accurately show the disease site, that the diagnosis of thyroid cancer and provide a reliable basis for the clinical diagnosis of high value.