彩色多普勒对甲状腺结节良恶性的诊断价值

Diagnostic Value of Color Doppler for Benign and Malignant Thyroid Nodules

目的：探讨彩色多普勒对甲状腺结节良恶性的诊断价值。方法：分析经手术和病理证实的120例良性甲状腺结节和65例恶性甲状腺结节的超声表现。结果：185个结节中，良性结节120个，其中结节性甲状腺肿85个，甲状腺瘤30个，桥本病5个。甲状腺癌共65个，乳头状癌59个，滤泡癌6个。在彩色血流分布类型比较上，良性结节以II型和IV型为主，分别占51％和35％；恶性结节以III型为主，占42％。结论：彩色多普勒可以为甲状腺结节良恶性的诊断、鉴别诊断和随访观察提供更多的辅助指标，有重要的诊断价值。

Purpose：To investigate the diagnostic value of color Doppler for benign and malignant thyroid nodules tumor.Methods：A-nalysis by surgery and pathology confirmed 120 cases of benign thyroid nodules and 65 cases of malignant thyroid nodules ultrasonography. Results：In the 185 nodules, benign nodules 120, of which 85 nodular goiter, thyroid adenoma 30, Hashimoto＇s disease 5.Thyroid cancer were 65, 59 papillary carcinoma, follicular carcinoma 6.In color flow distribution type comparison, benign nodules with type II and type IV, accounting for 51%and 35%, respectively;malignant nodules with type III, accounting for 42%.Conclusion：Color Doppler index can provide more aid to the diagnosis of benign and malignant thyroid nodules, differential diagnosis and follow-up observation has impor-tant diagnostic value.