CAJ | 학술논문

目的：探讨超声用于甲状腺良恶性结节的病理鉴别的临床价值。方法选取2011年1月～2014年8月我院收治的116例甲状腺结节患者为研究对象，所有患者均行病理切片检查和彩色多普勒超声检查，分析比较甲状腺良性结节和甲状腺恶性结节患者的超声诊断符合率及声像图表现。结果（1）甲状腺良性结节超声诊断符合率为86.49%，甲状腺恶性结节超声诊断符合率为85.71%，两组比较差异无统计学意义（P＞0.05）；（2）甲状腺良性结节患者声像图特征中纵径/横径、边界及形态不规则、低回声及微钙化比例均明显低于甲状腺恶性结节患者，两组比较差异有统计学意义（P＜0.05）；（3）甲状腺良性结节患者的血流动力学参数PSV、EDV以及RI均与恶性结节患者有统计学差异（P＜0.05）。结论超声诊断甲状腺良恶性结节均具有较高的诊断符合率，准确度较高，且甲状腺良性结节患者与甲状腺恶性结节患者的声像图特征及血流动力学参数相差较大，临床检查中可以清楚的鉴别、区分。因此，超声用于甲状腺良恶性结节的临床病理诊断具有重要的临床价值，值得推广使用。
목적：탐토초성용우갑상선량악성결절적병리감별적림상개치。방법선취2011년1월～2014년8월아원수치적116례갑상선결절환자위연구대상，소유환자균행병리절편검사화채색다보륵초성검사，분석비교갑상선량성결절화갑상선악성결절환자적초성진단부합솔급성상도표현。결과（1）갑상선량성결절초성진단부합솔위86.49%，갑상선악성결절초성진단부합솔위85.71%，량조비교차이무통계학의의（P＞0.05）；（2）갑상선량성결절환자성상도특정중종경/횡경、변계급형태불규칙、저회성급미개화비례균명현저우갑상선악성결절환자，량조비교차이유통계학의의（P＜0.05）；（3）갑상선량성결절환자적혈류동역학삼수PSV、EDV이급RI균여악성결절환자유통계학차이（P＜0.05）。결론초성진단갑상선량악성결절균구유교고적진단부합솔，준학도교고，차갑상선량성결절환자여갑상선악성결절환자적성상도특정급혈류동역학삼수상차교대，림상검사중가이청초적감별、구분。인차，초성용우갑상선량악성결절적림상병리진단구유중요적림상개치，치득추엄사용。
ObjectiveTo explore the clinical value of ultrasound in pathological differentiation of benign and malignant thyroid nodules.Methods 116 patients with thyroid nodules who were admitted to our hospital from January 2011 to August 2014 were selected as research subjects and all patients were received pathological section inspection and color doppler ultrasound examination.Diagnostic coincidence rate of ultrasound and ultrasound findings of benign thyroid nodules and malignant thyroid nodules were analyzed and compared. Results(1)Diagnostic coincidence rate of ultrasound of benign thyroid nodules was 86.49% while diagnostic coincidence rate of ultrasound of malignant thyroid nodules was 85.71% and the difference was not statistically significant (P>0.05).(2)Vertical diameter/transverse diameter,irregular boundaries and shapes,low echo,ratio of micro calcification in the ultrasonic characteristics of patients with benign thyroid nodules were all significantly lower than those of the patients with malignant thyroid nodules and the differences were statistically significant(P<0.05).(3)The hemodynamic parameters of PSV,EDV and RI of patients with benign thyroid nodules were significantly different from those of patients with malignant thyroid nodules(P<0.05). Conclusion Ultrasound in the diagnosis of benign and malignant thyroid nodules has a high diagnostic coincidence rate and accuracy.Ultrasonic characteristics and hemodynamic parameters of benign thyroid nodules and malignant thyroid nodules have great differences which can be clearly differentiated and distinguished in clinical examination. Therefore,ultrasound in the diagnosis of benign and malignant thyroid nodules has an important clinical value which is worthy promotion and application.