彩色多普勒超声对甲状腺癌的诊断价值分析

Analysis of the value of color Doppler uloasound in diagnosis of thy roid carcinoma

目的探讨不同类型甲状腺癌的声像图特征及超声对甲状腺癌的诊断价值。方法回顾分析2012年1月至2014年1月我院病理确诊的65例甲状腺癌患者临床资料,对不同类型甲状腺癌的彩色多普勒超声声像图特征进行分析,并与病理结果相对照。结果 65例甲状腺癌中,乳头状癌48例,滤泡状癌7例,髓样癌6例,未分化癌4例,超声诊断为恶性肿瘤的符合率分别为93.8%、85.7%、50%和100%。彩色多普勒显示81.5%(53/65)的甲状腺癌内有丰富的血流信号(2-3级)。结论彩色多普勒超声对甲状腺癌的诊断具有较高的应用价值。

Objective To investigate the sonographic features and the diagnosis value of ultrasound in different types of thyroid cancer. Methods Sixty-five thyroid cancer patients diagnosed by ultrasound and pathologic manifestations were retrospectively evaluated through Jan, 2012 to Jan, 2014. For different types of thyroid carcinoma, ultrasonographic features of color Doppler were analyzed and com-pared with the pathological results. Results In 65 cases of thyroid carcinoma, there were 48 cases of papillary carcinoma, 7 cases of follicu-lar thyroid carcinoma, 6 cases of medullary carcinoma, and 4 cases of undifferentiated carcinoma; the pathological consistent rate was 93. 8%, 85. 7%, 50% and 100%, respectively. Color Doppler showed 81. 5% (53/65) of thyroid carcinoma with abundant blood flow signal (2-3grade). Conclusion Color Doppler ultrasound has a high application value in the diagnosis of thyroid cancer.