CAJ | 학술논문

目的：探讨彩色多普勒超声对甲状腺乳头状癌的诊断价值。方法选取甲状腺乳头状癌患者52例作为研究对象，回顾性分析其超声图像特征。结果52例患者中，术前超声诊断为甲状腺乳头状癌的有45例，超声诊断符合率为86．5％。超声图像显示56个癌结节中表现实质性低回声的有31例，占59．6％；癌结节内有微小钙化表现的有44例，占84．6％；癌结节内检测到丰富血流信号的有46例，占82．1％。结论综合分析甲状腺癌结节及颈部淋巴结的超声图像表现，并结合临床检查可提高甲状腺乳头状癌的超声诊断率。
목적：탐토채색다보륵초성대갑상선유두상암적진단개치。방법선취갑상선유두상암환자52례작위연구대상，회고성분석기초성도상특정。결과52례환자중，술전초성진단위갑상선유두상암적유45례，초성진단부합솔위86．5％。초성도상현시56개암결절중표현실질성저회성적유31례，점59．6％；암결절내유미소개화표현적유44례，점84．6％；암결절내검측도봉부혈류신호적유46례，점82．1％。결론종합분석갑상선암결절급경부림파결적초성도상표현，병결합림상검사가제고갑상선유두상암적초성진단솔。
Objective To investigate the value of color Doppler ultrasonography in the diagnosis of papillary thyroid carcinoma(PTC) .Methods 52 patients with PTC treated in our hospital were selected as the research sub‐jects .The ultrasonographic features were retrospectively analyzed .Results Among 52 cases ,45 cases were preopera‐tively diagnosed as PTC by ultrasonography ,the coincidence rate of ultrasonographic diagnosis was 86 .5% .The ul‐trasonographic imaging showed that in 56 cancerous nodes ,31 cases demonstrated the substantive low echo ,account‐ing for 59 .6% ;44 cases had microcalcification manifestation in cancerous node ,accounting for 84 .6% ;46 cases were detected rich blood supply in the cancer nodules ,accounting for 82 .1% .Conclusion The comprehensive analysis on the ultrsonographic manifestations of thyroid cancerous node and cervical lymph nodes combined with the clinical ex‐aminations can increase the ultrasonographic diagnostic rate of papillary thyroid carcinoma .