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中华消化病与影像杂志(电子版) ›› 2022, Vol. 12 ›› Issue (05) : 274 -277. doi: 10.3877/cma.j.issn.2095-2015.2022.05.005

论著

彩色多普勒超声检查在甲状腺恶性肿瘤的诊断价值
梁理娟1,(), 蒙万添1, 赖华强1, 黄火莲1   
  1. 1. 526060 广东省,肇庆市第二人民医院超声科
  • 收稿日期:2022-02-14 出版日期:2022-10-01
  • 通信作者: 梁理娟

Analysis of the value of color Doppler ultrasound in the diagnosis of malignant thyroid tumors

Lijuan Liang1,(), Wantian Meng1, Huaqiang Lai1, Huolian Huang1   

  1. 1. Department of Ultrasound, Second People′s Hospital of Zhaoqing, Zhaoqing 526060, China
  • Received:2022-02-14 Published:2022-10-01
  • Corresponding author: Lijuan Liang
引用本文:

梁理娟, 蒙万添, 赖华强, 黄火莲. 彩色多普勒超声检查在甲状腺恶性肿瘤的诊断价值[J/OL]. 中华消化病与影像杂志(电子版), 2022, 12(05): 274-277.

Lijuan Liang, Wantian Meng, Huaqiang Lai, Huolian Huang. Analysis of the value of color Doppler ultrasound in the diagnosis of malignant thyroid tumors[J/OL]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2022, 12(05): 274-277.

目的

分析彩色多普勒超声检查在甲状腺恶性肿瘤的诊断价值。

方法

研究共纳入38例患者观察对象,均是肇庆市第二人民医院2018年1月至2020年12月收治的经手术病理学检查确诊的甲状腺恶性肿瘤患者,38例患者均接受彩色多普勒超声检查。将手术病理学检查结果作为参照,观察彩色多普勒超声检查的结果。

结果

38例患者经彩色多普勒超声检查后,有2例误诊甲状腺结节,6例漏诊,余下30例诊断为甲状腺恶性肿瘤,诊断准确率为78.95%(30/38)。38例患者主要超声表现为低回声结节,内部结构较甲状腺周围正常组织的密度高,血流量丰富,边界欠规整。

结论

彩色多普勒超声检查用于甲状腺恶性肿瘤的诊断价值显著,可以为甲状腺恶性肿瘤提供良好的诊断依据,提高诊断准确率。

Objective

To analyze the diagnostic value of color Doppler ultrasound in thyroid malignant tumors.

Methods

A total of 38 observation subjects were included in this study, all of whom were patients with thyroid malignancies diagnosed by surgical pathological examinations admitted to the Second People′s Hospital of Zhaoqing from January 2018 to December 2020.All 38 patients received color Doppler ultrasound.The results of color Doppler ultrasound were observed by referring to the results of surgical pathology.

Results

After color Doppler ultrasound examination of 38 patients, 2 case were misdiagnosed as thyroid nodules, 6 case were missed, and the remaining 30 cases were diagnosed as thyroid malignant tumors.The diagnostic accuracy was 78.95%(30/38).The main ultrasonic manifestations of 38 patients were hypoechoic nodules, with higher density of internal structure, abundant blood flow and irregular boundary than normal surrounding thyroid tissue.

Conclusion

Color Doppler ultrasound has significant diagnostic value for thyroid malignant tumor, which can provide good diagnostic basis for thyroid malignant tumor and improve diagnostic accuracy.

表1 彩色多普勒超声检查的诊断准确率分析[例(%)]
图3 彩色多普勒超声显示肿块血流较丰富,血流分布杂乱(与图2为同一患者)
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