甲状腺肿瘤患者经彩色多普勒超声诊断的临床效果观察

Observation on clinical effect of thyroid tumor patients diagnosed by color doppler ultrasound

目的观察甲状腺肿瘤患者经彩色多普勒超声诊断的临床效果。方法选取86例甲状腺肿瘤患者进行研究,回顾性分析其临床资料,均接受彩色多普勒超声诊断,并将其诊断结果与手术病理进行比较,评价其诊断符合率,总结不同性质肿瘤的超声特点。结果彩色多普勒超声检查对结节性甲状腺肿、甲状腺腺瘤、甲状腺囊肿和甲状腺癌的诊断符合率分别为88.24%、93.75%、81.82%和88.89%,与病理诊断结果比较差异无统计学意义(P>0.05)。良恶性肿瘤的声像图特征比较,差异有统计学意义(P<0.05)。结论彩色多普勒超声在甲状腺肿瘤的诊断中具有较高的准确率,能为鉴别肿瘤性质提供参考,而且具有无创伤和无放射的优势,可作为该病影像学诊断的首选方式。

Objective To observe the clinical effect of thyroid tumor patients diagnosed by color doppler ultrasound. Methods Retrospectively analysis was made on clinical data of 86 thyroid tumor patients. They all diagnosed by color doppler ultrasound, and their diagnostic results was compared with operative pathology to evaluate its diagnostic accordance rate and summarize ultrasonic characteristics of different tumors. Results Color doppler ultrasound examination had diagnostic accordance rate of nodular goiter, thyroid adenoma, thyroidcyst and thyroid cancer respectively as 88.24%, 93.75%, 81.82% and 88.89%, and there was no statistically significant difference comparing with pathological dignostie results（P〉0.05）. There was no statistically significant difference in acoustic imaging characteristics of benign or malignant tumor（P〈0.05）. Conclusion Color doppler ultrasound shows high accuracy in diagnosis of thyroid tumor, and it provides reference for identifying tumor nature with advantages of non-invasion and no radiation. So it can be used as a primary method for imaging diagnosis of this disease.