CAJ | 학술논문

目的：：研究高频超声显像在甲状腺癌诊断中的应用价值。方法：对经手术及病理证实的278例309个甲状腺癌结节的声像图进行分析,比较不同病理类型及同一病理类型甲状腺癌的声像图特征。结果：278例甲状腺癌患者中单灶型259例,多灶型19例；乳头状癌264例,甲状腺滤泡癌9例,髓样癌4例,未分化癌1例。其中低回声结节241例,囊实混合性结节28例,稍高回声结节9例。264例乳头状癌中微小乳头状癌78例,其中45例结节内部和边缘显示血流信号,33例未见明显血流信号；有51例伴细小钙化,钙化率65.4％。较大乳头状癌186例,其中184例结节内部和边缘显示血流信号,2例未见明显血流信号,差异有统计学意义(P<0.01)；有84例伴细小钙化,钙化率45.0％,差异有统计学意义(P<0.01)。结论：掌握各类甲状腺癌的超声声像图特征性表现,可以减少漏诊误诊,为临床采取合理的治疗方案提供有价值的信息。
목적：：연구고빈초성현상재갑상선암진단중적응용개치。방법：대경수술급병리증실적278례309개갑상선암결절적성상도진행분석,비교불동병리류형급동일병리류형갑상선암적성상도특정。결과：278례갑상선암환자중단조형259례,다조형19례；유두상암264례,갑상선려포암9례,수양암4례,미분화암1례。기중저회성결절241례,낭실혼합성결절28례,초고회성결절9례。264례유두상암중미소유두상암78례,기중45례결절내부화변연현시혈류신호,33례미견명현혈류신호；유51례반세소개화,개화솔65.4％。교대유두상암186례,기중184례결절내부화변연현시혈류신호,2례미견명현혈류신호,차이유통계학의의(P<0.01)；유84례반세소개화,개화솔45.0％,차이유통계학의의(P<0.01)。결론：장악각류갑상선암적초성성상도특정성표현,가이감소루진오진,위림상채취합리적치료방안제공유개치적신식。
Objective:To evaluate the application value of high-frequency ultrasound imaging in the diagnosis of thyroid carcinoma. Methods:The ultrasonograms data in 309 thyroid cancer nodules(278 cases) confirmed by surgery and pathology were retrospectively analyzed. The sonographic features between different pathological types and the same pathological type of thyroid carcinoma were compared. Results:Among the 278 thyroid carcinoma patients,unifocal in 259 cases and multifocal in 19 cases were found,the papillary carcinoma in 264 cases,follicular thyroid carcinoma in 9 cases,medullary carcinoma in 4 cases and undifferentiated carcinoma in 1 case were identified,the hypoechoic nodules in 241 cases,mixed cystic and solid nodule in 28 cases and slightly high level echo nodule in 9 cases were identified. Two hundred and sixty-four papillary carcinoma patients included 78 cases of small papillary carcinoma and 186 cases of large papillary carcinoma. Among the small papillary carcinoma patients,the blood signal in internal and edge of 45 cases,and no significant blood signal in 33 cases were showed,and the 51 cases with small calcification were found,the calcification rate of which was 65. 4%. Among the large papillary carcinoma patients,the blood signal in internal and edge of 184 cases and no significant blood signal in 2 cases were showed,the difference of which was statistically significant(P<0. 01),and the 84 cases with small calcification were found,the calcification rate of which was 65. 4%,the difference of which was statistically significant(P<0. 01). Conclusions:Knowing the characteristics of ultrasound performance of various types of thyroid carcinoma can reduce its missed diagnosis and misdiagnosis,which can provide the valuable information in taking reasonable clinical treatment.