中国卫生标准管理
中國衛生標準管理
중국위생표준관리
China Health Standard Management
2015年
25期
186-187
,共2页
常规超声诊断%超声影像%结节
常規超聲診斷%超聲影像%結節
상규초성진단%초성영상%결절
Conventional ultrasound diagnosis%Ultrasound imaging%Nodules
目的：探究常规超声结合超声造影用于甲状腺微小乳头状癌的临床诊断效果。方法选取我院的79例甲状腺微小乳头状癌患者，共计161个结节，术前对患者进行常规超声及超声造影检查，记录检查结果，术后行病理切片，与术前检查结果进行比较，对比分析超声造影特点及声像图表现，探究常规超声结合超声造影的临床诊断情况。结果79例患者中，患甲状腺癌单发结节患者35例，患多发结节患者44例；经术后病例对照，超声诊断正确的患者为70例，准确率为88.61%；超声声像图显示，结节回声低，无包膜包裹，边缘较为模糊，形态规则性欠佳，后方回声减弱，部分结节血流不充足；经常规超声造影诊断显示，甲状腺微小乳头状癌结节不均匀增强，结节增强过程中仅少数结节表现为正常增强。结伦临床上采用常规超声联合超声造影对甲状腺微小乳头状癌的诊断效果比较理想，同时可以对结界内与周围甲状腺进行比较，可行性高。
目的：探究常規超聲結閤超聲造影用于甲狀腺微小乳頭狀癌的臨床診斷效果。方法選取我院的79例甲狀腺微小乳頭狀癌患者，共計161箇結節，術前對患者進行常規超聲及超聲造影檢查，記錄檢查結果，術後行病理切片，與術前檢查結果進行比較，對比分析超聲造影特點及聲像圖錶現，探究常規超聲結閤超聲造影的臨床診斷情況。結果79例患者中，患甲狀腺癌單髮結節患者35例，患多髮結節患者44例；經術後病例對照，超聲診斷正確的患者為70例，準確率為88.61%；超聲聲像圖顯示，結節迴聲低，無包膜包裹，邊緣較為模糊，形態規則性欠佳，後方迴聲減弱，部分結節血流不充足；經常規超聲造影診斷顯示，甲狀腺微小乳頭狀癌結節不均勻增彊，結節增彊過程中僅少數結節錶現為正常增彊。結倫臨床上採用常規超聲聯閤超聲造影對甲狀腺微小乳頭狀癌的診斷效果比較理想，同時可以對結界內與週圍甲狀腺進行比較，可行性高。
목적：탐구상규초성결합초성조영용우갑상선미소유두상암적림상진단효과。방법선취아원적79례갑상선미소유두상암환자，공계161개결절，술전대환자진행상규초성급초성조영검사，기록검사결과，술후행병리절편，여술전검사결과진행비교，대비분석초성조영특점급성상도표현，탐구상규초성결합초성조영적림상진단정황。결과79례환자중，환갑상선암단발결절환자35례，환다발결절환자44례；경술후병례대조，초성진단정학적환자위70례，준학솔위88.61%；초성성상도현시，결절회성저，무포막포과，변연교위모호，형태규칙성흠가，후방회성감약，부분결절혈류불충족；경상규초성조영진단현시，갑상선미소유두상암결절불균균증강，결절증강과정중부소수결절표현위정상증강。결륜림상상채용상규초성연합초성조영대갑상선미소유두상암적진단효과비교이상，동시가이대결계내여주위갑상선진행비교，가행성고。
Objective To explore the clinical diagnosis effect of conventional ultrasound combined with contrast-enhanced ultrasonography for thyroid papil ary carcinoma. Methods Selected our hospital 79 cases of thyroid papil ary carcinoma,a total of 161 nodes,conventional ultrasound and contrast-enhanced ultrasound examination was performed preoperatively,record test results,the postoperative pathological section,compared with preoperative examination results,analysis of ultrasonic imaging characteristics and ultrasonographic manifestations. To explore the conventional ultrasound combined with the clinical diagnosis of ultrasonic imaging. Results 79 cases of patients,35 patients with the single nodule of thyroid cancers,with 44 patients with multiple nodules, after case-control,ultrasound diagnosis for 70 cases of patients with correctly,the accuracy was 88.61%,low,according to the ultrasonic ultrasonographic nodular echo,no envelope package,edge was relatively fuzzy,poor morphology regularity,rear echo was abate,blood flow to part of the nodules was not enough,by conventional ultrasound imaging diagnosis showed that thyroid papil ary carcinoma nodules uneven enhancement,nodular enhancement in the process of only a few nodules as normal. Conclusion Clinical y by routine ultrasound combined ultrasonic imaging to the diagnosis of thyroid papil ary carcinoma effect is ideal,as wel as comparing with thyroid around inside the enchantment,the feasibility is high.
