CAJ | 학술논문

目的：探讨甲状腺结节内钙化灶模式与甲状腺癌的相关性。方法采用高频超声探测260例患者的甲状腺结节伴钙化模式，分析甲状腺钙化结节良、恶性的相关因素，不同钙化类型的良、恶性分布及不同病理类型甲状腺癌中钙化类型的分布情况。结果年龄、结节数目和血流分型是钙化结节良、恶性的相关因素。良性钙化结节以粗钙化型为主，占56．3％；恶性钙化结节以微钙化为主，占53．8％；差异有统计学意义，P＜0．05。乳头状癌和未分化癌中微钙化比例最高，P＜0．05；滤泡状癌和髓样癌中4种钙化类型差异无统计学意义，P＞0．05。结论微钙化是预测恶性甲状腺结节的危险因素，可作为诊断甲状腺癌的指标之一。在采用高频超声检查甲状腺结节时，应对钙化的结节给予高度重视。
목적：탐토갑상선결절내개화조모식여갑상선암적상관성。방법채용고빈초성탐측260례환자적갑상선결절반개화모식，분석갑상선개화결절량、악성적상관인소，불동개화류형적량、악성분포급불동병리류형갑상선암중개화류형적분포정황。결과년령、결절수목화혈류분형시개화결절량、악성적상관인소。량성개화결절이조개화형위주，점56．3％；악성개화결절이미개화위주，점53．8％；차이유통계학의의，P＜0．05。유두상암화미분화암중미개화비례최고，P＜0．05；려포상암화수양암중4충개화류형차이무통계학의의，P＞0．05。결론미개화시예측악성갑상선결절적위험인소，가작위진단갑상선암적지표지일。재채용고빈초성검사갑상선결절시，응대개화적결절급여고도중시。
Objective To study the correlation between thyroid nodules calcification patterns and thyroid cancer .Meth-ods 260 cases of thyroid nodules calcification received high frequency ultrasound .Relevant factors of benign and malignant thy-roid nodules calcification ,distribution of different benign and malignant calcification types ,and distribution of different pathologi-cal types of thyroid cancer calcification were analyzed .Results Age,nodule number and blood type were related factors of benign and malignant calcified nodules .The proportion of crude calcification in benign calcified nodules was 56.3%and microcalcifica-ton in malignant calcified nodules was 53.8%.There was significant difference between the 2 types,P<0.05.Papillary carcinoma and undifferentiated carcinoma microcalcifications accounted the highest proportion ,P<0.05.4 types of calcification in follicular cancer and medullary carcinoma had no significant difference ,P>0.05.Conclusion Microcalcifications is the risk factor for predicting malignant thyroid nodules ,and it can be indicator in the diagnosis of thyroid cancer .During high-frequency ultrasound examination of thyroid nodules ,calcified nodules should be given high priority .