超声在甲状腺结节钙化灶的诊断价值与分析

The clinical value and analysis of thyroid nodule calcification detected by ultrasonography

目的:探讨利用超声检测甲状腺结节钙化灶,在诊断甲状腺疾病中的应用价值。方法:回顾性分析107例甲状腺结节术后病理结果和超声检查声像图进行比较。结果:107例甲状腺结节患者中,甲状腺良性病变81例,甲状腺癌26例;甲状腺癌结节伴有钙化灶19例(73.08%),较良性病变结节的钙化率(31例,38.27%)明显升高(P<0.01);在19例甲状腺癌结节伴有钙化中,有微小钙化灶14例(73.68%),而在31例甲状腺良性结节伴有钙化中,具有微小钙化灶11例(35.48%),两者间差异有统计学意义(P<0.01)。结论:甲状腺超声声像图检查中发现结节伴钙化是甲状腺癌诊断的重要征象,尤其是微小钙化具有特征性意义。

Objective：To explore the thyroid nodule calcification with ultrasonography, to evaluate the application value in the diagnosis of thyroid disease.Method：A retrospective analysis of 107 cases of thyroid nodule postoperative were carried, compared with the results of pathologic and ultrasound sonograms.Results：107 patients with thyroid nodule,81 cases of thyroid benign lesions, 26 cases of thyroid cancer; Compared with thyroid cancer nodules （19 cases, 73.08%） relatively benign lesions nodules of calcification （31 cases, 38.27%） increased significantly （P〈 0.01）; In 19 cases of thyroid nodule with calcification, a tiny calcifications in 14 cases （73.68%）, while in 31 cases of benign thyroid nodules with calcification, a tiny calcifications in 11 cases （35.48%）,there were significant difference between them （P〈 O.O1）.Conclusion：It is one of the important signs of thyroid cancer diagnosis thyroid ultrasonic ultrasonographic examination nodules with calcification, especially the tiny calcification characteristic significance.