CAJ | 학술논문

目的：研究超声对多发性甲状腺微小癌(TMC)的诊断，分析超声诊断在临床应用中的价值优势。方法：选取多发性甲状腺微小癌患者106例，选取其130个甲状腺微小癌结节，并按照2∶1比例选择43例良性患者的65个良性结节进行正常对照，记录各自回声程度、边界清晰度、大体形态、血流情况以及钙化分布等数据，并分析与病理结果的一致性。结果：经病理确诊的130个TMC结节中，有113例结节与超声诊断结果相同，诊断正确率达86.9%；病理确诊的甲状腺微小癌中以乳头状癌最多见；回声强度、肿瘤边缘、钙化程度、血流阻力指数以及纵横比在研究组与对照组间存在明显差别，两组比较差异显著。结论：超声检验对于诊断多发性甲状腺微小癌有明显的临床意义，有助于在保证准确度的基础上进行诊断的简化，建议进行临床推广。
목적：연구초성대다발성갑상선미소암(TMC)적진단，분석초성진단재림상응용중적개치우세。방법：선취다발성갑상선미소암환자106례，선취기130개갑상선미소암결절，병안조2∶1비례선택43례량성환자적65개량성결절진행정상대조，기록각자회성정도、변계청석도、대체형태、혈류정황이급개화분포등수거，병분석여병리결과적일치성。결과：경병리학진적130개TMC결절중，유113례결절여초성진단결과상동，진단정학솔체86.9%；병리학진적갑상선미소암중이유두상암최다견；회성강도、종류변연、개화정도、혈류조력지수이급종횡비재연구조여대조조간존재명현차별，량조비교차이현저。결론：초성검험대우진단다발성갑상선미소암유명현적림상의의，유조우재보증준학도적기출상진행진단적간화，건의진행림상추엄。
Objective:To study the curative effect of using ultrasonic testing multiple thyroid microcarcinoma.Methods: One hundred and six patients with multiple thyroid micro carcinoma from 2013 March to 2013 November were selected as cases, 130 thyroid microcarcinoma nodule ultrasound diagnosis, selection of normal control were similar in the 65 benign nodules patients according to the ratio of 2:1, and to select the typical cases were analyzed. Recorded their echoes, boundary definition, gross morphology and blood flow distribution, calcification and other data, and analyzed of consistency and pathological results.Results: One hundred and thirty cases of TMC nodules confirmed by pathology, 113 cases of nodular using ultrasound diagnosed the same results, the correct diagnostic rate was 86.9%; Thyroid Mini carcinoma pathologically confirmed, most common in papillary carcinoma; echo intensity, the edge of tumor, the degree of calcification, blood flow resistance index, aspect ratio in the study group and the control group had obvious difference, the difference between the two groups was significant.Conclusion: ultrasound examination has obvious clinical significance for the diagnosis of multiple thyroid microcarcinoma, it is useful to improve the inspection to ensure correct rate of accuracy.