摘要
目的探讨高频超声在诊断儿童甲状腺肿瘤中的临床应用价值。方法选取51例儿童甲状腺肿瘤患者,均接受高频超声检查,分析超声检查和病理诊断结果的差异。结果超声诊断准确率为92.2%,良恶性准确率分别为97.0%与83.3%。良性肿瘤与恶性肿瘤在边界清晰度、形态规则度、有无微钙化、内部回声高低、有无颈部淋巴结肿大以及Ⅲ型肿块血流方面均存在明显差异(P<0.05)。联合指标评估比较中,形态不规则联合Ⅲ型血流表现的特异度和敏感度最佳。结论针对儿童甲状腺肿瘤患者开展高频超声检查能够有效发现结节,并能够依据不同表现判定肿瘤的性质,可作为儿童甲状腺肿瘤的首选诊断方法。
Objective To investigate the clinical value of high-frequency ultrasound in children thyroid cancer patients. Methods 51 children with thyroid cancer were selected and given high-frequency ultrasound examination. The examination results were compared with the pathological diagnosis results. Re- sults Eventually, the ultrasound diagnostic accuracy was 92. 16% , benign and malignant tumors accuracy rate was 96. 97% and 83.33%. The boundary,microcalcifications, internal hypoeehoic,cervical lymphade- nopathy and Ⅲ type mass flow performance of the benign and malignant tumors using high-frequency ultra- sound were greatly different（ P 〈 O. 05 ）. Indicators using irregular and blood type Ⅲ performed the best specificity and sensitivity. Conclusions High-frequency ultrasound for the diagnosis of thyroid cancer in children was effective and can distinguish benign and malignant nodules, which is the preferred method in clinical diagnosis of such disease.
出处
《中国肿瘤临床与康复》
2015年第5期596-598,共3页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
甲状腺肿瘤
儿童
高频超声
诊断
Thyroid neoplasms
Child
Frequency ultrasound
Diagnosis
