CAJ | 학술논문

目的：总结分析彩色多普勒超声诊断乳头状甲状腺癌术后复发的临床价值。方法选择2012年6月～2014年11月期间我院收治的40例经手术和病理检查确诊为乳头状甲状腺癌术后复发患者为研究对象，分析其术后复发时间、复发位置以及复发肿瘤的彩色多普勒超声图像特点。结果彩色超声诊断复发肿瘤病灶准确率为92.50%；术后复发时间（2.1±0.5）年。35例颈部淋巴结转移、2例患侧甲状腺床复发、2例对侧甲状腺复发、1例肺及纵膈转移。复发病灶直径平均（1.2±0.6） cm；外形为类圆形或呈不规则形状。血流特征显示情况为：28个为混合型、15个为周围型、12个无血流。结论乳头状甲状腺癌术后6个月～3年是复发高峰期，多为颈部淋巴结转移，彩色多普勒超声可对复发肿瘤进行定性和定位，是乳头状甲状腺癌术后复发的首选诊断手段。
목적：총결분석채색다보륵초성진단유두상갑상선암술후복발적림상개치。방법선택2012년6월～2014년11월기간아원수치적40례경수술화병리검사학진위유두상갑상선암술후복발환자위연구대상，분석기술후복발시간、복발위치이급복발종류적채색다보륵초성도상특점。결과채색초성진단복발종류병조준학솔위92.50%；술후복발시간（2.1±0.5）년。35례경부림파결전이、2례환측갑상선상복발、2례대측갑상선복발、1례폐급종격전이。복발병조직경평균（1.2±0.6） cm；외형위류원형혹정불규칙형상。혈류특정현시정황위：28개위혼합형、15개위주위형、12개무혈류。결론유두상갑상선암술후6개월～3년시복발고봉기，다위경부림파결전이，채색다보륵초성가대복발종류진행정성화정위，시유두상갑상선암술후복발적수선진단수단。
Objective To summarize the clinical value of color Doppler ultrasound in the diagnosis of postoperative recurrence of papillary thyroid carcinoma.Methods 40 patients with papillary thyroid carcinoma who were treated in our hospital from June 2012 to November 2014 were studied. The patients were diagnosed as papillary thyroid carcinoma. The characteristics of color Doppler ultrasound were analyzed.Results The accuracy rate of color ultrasound in the diagnosis of recurrent tumor was 92.50%, and the time of recurrence was (2.1±0.5) year. 35 cases of cervical lymph node metastasis, 2 cases of recurrent thyroid bed, 2 cases of contralateral Thyroid Recurrence, 1 cases of pulmonary and mediastinal metastasis. The average diameter of the lesions was (1.2±0.6) cm, the shape was round or irregular. Blood lfow characteristics were as follows: 28 were mixed type, 15 were peripheral type, 12 had no blood flow.Conclusion 6 months after the operation of papillary thyroid carcinoma, 3 years is the peak of recurrence, and more for the cervical lymph node metastasis, color Doppler ultrasound can be used for the diagnosis of recurrent tumor, is the ifrst choice for the diagnosis of recurrent papillary thyroid cancer.