CAJ | 학술논문

目的：探究超声造影在甲状腺乳头状癌诊断中的价值。方法整群选取2014年4月—2015年4月该院已完成了的还拟进行手术的87例甲状腺乳头状癌的手术患者，在进行完常规超声后，进行超声造影检查，用TomTec软件进行时间强度曲线(TIC)分析，观察时间一强度曲线(TIC)分析病灶始增时间、峰值强度和消退时间等参数，比较常规超声和超声造影方法诊断的准确度。结果造影后，87例甲状腺乳头状癌患者，超声造影结果：准确率95.4%，误差率4.6%，常规超声结果：准确率59.7%，误差率40.3%。χ2检验后得值分别为5.510、6.330、P值分别为0.019、0.012，均＜0.05，差异有统计学意义。使用TIC分析软件分析，病灶始增时间与周围甲状腺组织时间相比较较晚，二者在消退时间上差异有统计学意义(P<0.05)。结论超声造影能辅助诊断甲状腺乳头状癌，并且能够提高诊断的准确性。
목적：탐구초성조영재갑상선유두상암진단중적개치。방법정군선취2014년4월—2015년4월해원이완성료적환의진행수술적87례갑상선유두상암적수술환자，재진행완상규초성후，진행초성조영검사，용TomTec연건진행시간강도곡선(TIC)분석，관찰시간일강도곡선(TIC)분석병조시증시간、봉치강도화소퇴시간등삼수，비교상규초성화초성조영방법진단적준학도。결과조영후，87례갑상선유두상암환자，초성조영결과：준학솔95.4%，오차솔4.6%，상규초성결과：준학솔59.7%，오차솔40.3%。χ2검험후득치분별위5.510、6.330、P치분별위0.019、0.012，균＜0.05，차이유통계학의의。사용TIC분석연건분석，병조시증시간여주위갑상선조직시간상비교교만，이자재소퇴시간상차이유통계학의의(P<0.05)。결론초성조영능보조진단갑상선유두상암，병차능구제고진단적준학성。
Objective To explore the value of contrast-enhanced ultrasound in the diagnosis of papillary thyroid carcinoma. Methods 87 cases of papillary thyroid carcinoma upcoming surgery, during routine ultrasound and Doppler finished after examination, ultrasound imaging, with TomTec software time intensity curve (TIC) analysis, observation time-intensity curve (TIC) analysis by lesions start time, peak intensity and fade time and other parameters, more conventional ultrasound and angiography diagnostic accuracy and sensitivity. Results After angiography, 87 cases of papillary thyroid cancer, the observation group:accuracy rate is 95.4 percent , error rate of 4.6 percent in the control group: 59.7percent accuracy rate, error rate of 40.3 percent. The chi-square values were 5.510, 6.330, P values were 0.019, 0.012, are greater than 0.05 with a significant difference. Use TomTec analysis software, lesions start time and the surrounding thyroid tissue by comparing time later, both in the regression was no significant difference (P<0.05). Conclusion Ultrasound contrast could help diagnose papillary thyroid cancer, and to improve the accuracy of diagnosis.