高频二维彩色多普勒超声对结节性甲状腺肿的诊断价值

Diagnostic Value of High-frequency Superficial Color Doppler Ultrasound in Nodular Goiter

目的:探讨高频二维超声及彩色多普勒血流成像(CDFI)对结节性甲状腺肿的临床诊断价值。方法:对96例来皖南医学院第一附属医院疑似为结节性甲状腺肿的患者进行高频二维超声及彩色多普勒血流成像检查,对术后病理结果进行随访,回顾性分析典型的超声声像图特征。结果:在超声初步诊断的结节性甲状腺肿的96例患者中,有72例经手术病理证实为结节性甲状腺肿,5例经病理检查确诊为甲状腺腺瘤,5例经病理检查确诊为甲状腺乳头状癌,超声诊断率达75%。结论:高频二维超声联合彩色多普勒血流成像对结节性甲状腺肿的诊断率高,无创伤、无辐射、安全可靠,可以作为结节性甲状腺肿的首选影像学检查方法。

Objective: To explore the clinical value of high-frequency two-dimensional superficial ultrasound and color Doppler flow imaging(CDFI)in diagnosing nodular goiter. Methods: 96 patients with suspected nodular goiter were examined by high-frequency two-dimensional ultrasonography and color Doppler flow imaging. The follow-up pathological results and the typical ultrasonography map features were analyzed retrospectively. Results: Among 96 cases of patients with nodular goiter diagnosed by ultrasound, the diagnosis of nodular goiter of 72 was confirmed by surgery and pathology, 5 cases were diagnosed as thyroid adenoma and 5 cases were confirmed as thyroid papillae cancer by pathology. The diagnostic accuracy rate of ultrasonography was 75%. Conclusion: Highfrequency two-dimensional superficial ultrasound combined with color Doppler flow imaging has a high diagnostic rate of nodular goiter. This diagnostic method is non-invasive, non-radiative, safe and reliable, and can be used as the preferred imaging method for examining nodular goiter.