彩色多普勒血流显像对甲状腺疾病的诊断与鉴别

Diagnosis and differentiation of thyroid diseases with CDFI

目的探讨彩色多普勒血流显像对甲状腺疾病的诊断和鉴别价值。方法采用彩色多普勒血流显像(CDFI)对128例经手术和病理证实的甲状腺疾病进行了分析,并与病理组织检查对照。结果与病理相对照,CDFI对结节性甲状腺肿的病变诊断符合率为94.0%(47/50),桥本甲状腺炎病变诊断符合率为94.1%(16/17),甲状腺腺瘤病变诊断符合率为95.6%(44/46),甲状腺癌病变诊断符合率为86.6%(13/15)。结论彩色多普勒超声在甲状腺疾病的诊断中具有较高的应用价值和鉴别价值。

Objective To disuess the applied value of color Doppler flow imaging （CDFI） in the diagnosis and differentiation of thyroid diseases. Methods A hundred and twenty-eight patients with surgically and pathologically proved thyroid diseases underwent the examinations of CDFI. CDFI findings in all patients were retrospectively analyzed and compared with those of pathology. Results Compared with pathology, the corresponding rate of CDFI for diagnosing nodular thyrocele was 94.0%（47/50）, for Hashimoto＇s thyroiditis was 94.1%（16/ 17）, for thyroid adenoma was 95.6%（44/46）, and for thyroid cancer was 86.6%（13/15）. Conclusion Color Doppler flow imaging has important value for diagnosing and differentiating thyroid diseases.