探讨甲状腺结节应用超声良恶性鉴别中的应用

Discussion on the Application Of Ultrasound in the Differential Diagnosis of Benign and Malignant Thyroid Nodules

目的探究超声在鉴别甲状腺结节良恶性方面的应用价值。方法对2017年7月到2018年5月我院320个病人(共计755个结节)做了甲状腺超声检查并切除了甲状腺结节患者作为研究对象,对其术后甲状腺结节石蜡切片的病理检查结果做了回顾性分析,把术前甲状腺的超声征象(无钙化、混合钙化、粗大钙化、微小钙化)和术后的病理做了细致分析对比。结果 755个结节中恶性424个(涵盖疑似恶性5个、低分化癌2个、滤泡样癌4个、髓样癌8个、乳头样癌405个)、良性331个。恶性甲状腺结节病人的年龄(45.2±12.1岁)比良性患者(51.3±12.1岁)小。甲状腺结节有钙化的恶性占比比无钙化者高,微钙化者为恶性的比例比粗大钙化者高。结论通过超声判断甲状腺结节良恶性的特征有明显差异性,具有很高的临床应用价值。

Objective To explore the value of ultrasound in identifying benign and malignant thyroid nodules. Methods From July 2017 to May 2018,320 patients (a total of 755 nodules)in our hospital underwent thyroid ultrasonography and removed thyroid nodules as subjects.The pathology of paraffin sections of thyroid nodules after operation and the results of the examination were retrospectively analyzed.The ultrasound signs of the preoperative thyroid (no calcification,mixed calcification,coarse calcification,microcalcification)and postoperative pathology were carefully analyzed.Results There were 424 malignant 755 nodules (including 5 suspected malignant,2 poorly differentiated carcinoma,4 follicular carcinoma,8 medullary carcinoma,405 papillary carcinoma)and 331 benign.The age of patients with malignant thyroid nodules (45.2±12.1 years)was smaller than that of benign patients (51.3±12.1 years).The malignant proportion of thyroid nodules is higher than that of non-calcified ones,and the proportion of malignant calcifications is higher than that of coarse calcifications.Conclusion There are significant differences in the characteristics of benign and malignant thyroid nodules by ultrasound,which has high clinical value.