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超声对甲状腺恶性肿瘤的诊断探讨 被引量:3

Ultrasonography Diagnosis of Malignant Thyroid Tumors
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摘要 目的:探讨超声检查对甲状腺恶性肿瘤的诊断价值。方法:对我院经病理证实的54例甲状腺恶性肿瘤患者的超声检查结果做回顾性分析。结果:48例(89%)病变为低回声;43例(79%)病变边界模糊或欠整齐;40例(74%)内见微小钙化灶;46例(85%)内部回声不均匀。彩色多普勒血流显像(color doppler-flow imaging,CDFI)示54例(100%)病灶内均可探及血流信号;34例明显血流较为丰富杂乱;RI>0.60者33例,RI<0.60者21例。结论:甲状腺恶性肿瘤多数具有特征性表现,超声检查有助于恶性病例的诊断及对可疑病例的筛选,但诊断特异性尤其对微小病变良恶性的判断上有局限性,仍需进一步探讨。 Objective:To detect malignant thyroid tumor with ultrasound and color Doppler. Methods: Fifty - four patients who were confirmed by histo - pathology as malignant thyroid tumors were reviewed. Results. fouty- eight tumors(89 % ) showed hypoechogenicity, 43 ( 79 % ) tumors were nodular and innegular, 40 ( 74% ) tumors were microcalcified. Color Doppler Flow Imaging showed Arterial blood flow in all tumers. 33 tumors showed RI higher than 0.60.Conclusion:The sonographic sighs of most malignant thyroid tumors hold characteristics favourable in diagnosis, but it's difficult for ultrasound to determines minimal malignant.
出处 《内蒙古医学杂志》 2008年第1期29-30,共2页 Inner Mongolia Medical Journal
关键词 甲状腺 恶性肿瘤 CDFI 超声 Thyroid Malignant Tumor Color doppler- flow imaging Ultrasound
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参考文献5

  • 1Solbiati,Volterrani L,Rizzatto G.et al.The thyroid gland with low updatelesions:Evaluation by ultrasound[J].Radiology.1985,155:187-192.
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  • 4陈文,张武,苗立英,冉维强,黄曼维,林发俭,贾建文.甲状腺恶性肿瘤的二维及彩色多普勒超声征象及其临床意义[J].中国超声医学杂志,2000,16(7):495-497. 被引量:100
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