超声诊断多发性甲状腺微小癌的诊断价值

The valuable advantage of ultrasound in the diagnosis of multiple thyroid microcarcinoma

目的:研究超声对多发性甲状腺微小癌(TMC)的诊断,分析超声诊断在临床应用中的价值优势。方法:选取多发性甲状腺微小癌患者106例,选取其130个甲状腺微小癌结节,并按照2∶1比例选择43例良性患者的65个良性结节进行正常对照,记录各自回声程度、边界清晰度、大体形态、血流情况以及钙化分布等数据,并分析与病理结果的一致性。结果:经病理确诊的130个TMC结节中,有113例结节与超声诊断结果相同,诊断正确率达86.9%;病理确诊的甲状腺微小癌中以乳头状癌最多见;回声强度、肿瘤边缘、钙化程度、血流阻力指数以及纵横比在研究组与对照组间存在明显差别,两组比较差异显著。结论:超声检验对于诊断多发性甲状腺微小癌有明显的临床意义,有助于在保证准确度的基础上进行诊断的简化,建议进行临床推广。

Objective： To study the curative effect of using ultrasonic testing multiple thyroid microcarcinonla. Methods： One hundred and six patients with multiple thyroid micro carcinoma from 2013 March to 2013 November were selected as cases, 130 thyroid microcarcinoma nodule ultrasound diagnosis, selection of normal control were similar in tile 65 benign nodules patients according to the ratio of 2：1, and to select the typical cases were analyzed. Recorded their echoes, boundary definition, gross morphology and blood flow distribution, calcification and other data, and analyzed of consistency and pathological results. Results： One hundred and thirty cases of TMC nodules confirmed by pathology, 115 cases of nodular using ultrasound diagnosed the same results, the correct diagnostic rate was 86.9%; Thyroid Mini carcinoma pathologically confirmed, most common in papillary carcinoma; echo intensity, the edge of tumor, the degree of calcification, blood flow resistance index, aspect ratio in the study group and the control group had obvious difference, the difference between the two groups was significant. Conclusion： ultrasound examination has obvious clinical significance for the diagnosis of multiple thyroid microcarcinoma, it is useful to improve the inspection to ensure correct rate of accuracy.