【摘要】 目的 探討彩色多普勒超聲對臨床甲狀腺良惡性結節(jié)的診斷價值。 方法 對2007-2010年105例經(jīng)手術病理證實的甲狀腺結節(jié)患者資料進行回顧性分析,總結其聲像圖特征。 結果 105例患者中,良性結節(jié)71例,甲狀腺癌34例,超聲診斷符合率81.9%,誤診18例(17.1%)。 結論 彩色多普勒超聲是診斷甲狀腺結節(jié)的首選影像學檢查方法,但對良惡性結節(jié)的鑒別及微小癌的診斷有局限性。
【Abstract】 Objective To evaluate the value of color Doppler flow imaging in diagnosis of benign and malignant thyroid nodules. Methods We retrospectively analyzed the clinical data of 105 patients with thyroid nodules confirmed by pathology between 2007 and 2010 and summarized the ultrasonography results. Results Among the 105 cases, 71 were benign nodules and 34 were malignant tumors. The overall diagnostic accordance rate was 81.9% with 18 cases (17.1%) of misdiagnosis. Conclusion Ultrasonography is the first imaging modality for thyroid nodule examination, but it is limited in the diagnosis of microcarcinoma and in distinguishing malignant from benign nodules in the same thyroid.
引用本文: 王宇,沈惠芳,楊華麗. 彩色多普勒超聲對甲狀腺結節(jié)的診斷價值. 華西醫(yī)學, 2011, 26(4): 559-561. doi: 復制
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5. | 梁建平, 張武. 彩色多普勒超聲對甲狀腺結節(jié)性病變診斷價值的評價[J]. 基礎醫(yī)學與臨床, 1998, 18(4): 37-40. |
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7. | 劉增波, 方平, 譚躍萍, 等. 彩色多普勒超聲對甲狀腺惡性腫瘤鑒別的多因素分析[J]. 中華超聲影像學雜志, 2005, 14(2): 158-159. |
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9. | Kakkos SK, Scopa CD, Chalmoukis AK, et al. Relative risk of cancer in sonographically detected thyroid nodules with calcifications[J]. J Clin Ultrasound, 2000, 28(7): 347-352. |
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11. | 巴詠梅, 段云友, 羅二平, 等. 甲狀腺惡性腫瘤超聲診斷的價值及誤診分析[J]. 臨床超聲醫(yī)學雜志, 2007, 9(10): 605-608. |
12. | 唐麗娜, 任永富, 閻若元, 等. 二維及彩色多普勒超聲對甲狀腺癌的診斷價值分析[J]. 中國超聲醫(yī)學雜志, 2003, 19(4): 266-268. |
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- 1. 史軼繁. 協(xié)和內(nèi)分泌和代謝學[M]. 北京: 科學出版社, 1999: 1062.
- 2. Reading CC, Charboneau JW, Hay ID, et al. Sonography of thyroid nodules: a “classic pattern” diagnosis approach[J]. Ultras Quart, 2005, 21(3): 157-165.
- 3. Jemal S, Murray T, Wsrd E, et al. Cancer statistics, 2005[J]. CA Cancer J Clin, 2005, 55(1): 10-30.
- 4. Koike E, Noguchi S, Yamashita H, et al. Ultrasonographic characteristic of thyroid nodules: prediction of malignancy[J]. Arch Surg, 2001, 136(3): 334-337.
- 5. 梁建平, 張武. 彩色多普勒超聲對甲狀腺結節(jié)性病變診斷價值的評價[J]. 基礎醫(yī)學與臨床, 1998, 18(4): 37-40.
- 6. 于銘, 王金華, 王建宏. 二維及彩色多普勒超聲在結節(jié)性甲狀腺腫診斷中應用[J]. 中國超聲醫(yī)學雜志, 2000, 16(8): 599-601.
- 7. 劉增波, 方平, 譚躍萍, 等. 彩色多普勒超聲對甲狀腺惡性腫瘤鑒別的多因素分析[J]. 中華超聲影像學雜志, 2005, 14(2): 158-159.
- 8. Rumack CM, Wilson SR, Charbimeau JW. Diagnostic Ultrasound[M]. 3rd edition. Singapore: Elsevier Pre Ltd., 2005: 743-749.
- 9. Kakkos SK, Scopa CD, Chalmoukis AK, et al. Relative risk of cancer in sonographically detected thyroid nodules with calcifications[J]. J Clin Ultrasound, 2000, 28(7): 347-352.
- 10. 劉復生, 劉彤華. 腫瘤病理學[M]. 北京: 北京醫(yī)科大學?中國協(xié)和醫(yī)科大學聯(lián)合出版社, 1997: 1325-1339.
- 11. 巴詠梅, 段云友, 羅二平, 等. 甲狀腺惡性腫瘤超聲診斷的價值及誤診分析[J]. 臨床超聲醫(yī)學雜志, 2007, 9(10): 605-608.
- 12. 唐麗娜, 任永富, 閻若元, 等. 二維及彩色多普勒超聲對甲狀腺癌的診斷價值分析[J]. 中國超聲醫(yī)學雜志, 2003, 19(4): 266-268.
- 13. Light GS Jr . Nodular goiter and benign and malignant neoplasm of the thyroid text book of surgery[M]. 15th ed. Philadephia: WB Saunders Company, 1997: 626-627.