结节性甲状腺肿合并甲状腺癌的超声诊断价值评价

Evaluation of Ultrasonic Diagnostic Value of Nodular Goiter with Thyroid Carcinoma

目的探讨对结节性甲状腺肿伴有甲状腺癌患者选择超声方法进行疾病诊断的临床价值。方法方便选择于2016年5月-2018年11月该院收治的96例结节性甲状腺肿伴有甲状腺癌患者作为实验对象;临床分别选择超声方法、CT方法以及超声+CT方法完成疾病诊断,并且以病理诊断结果作为参考,对比3种方法诊断结果。结果对所有结节性甲状腺肿伴有甲状腺癌患者实施病理诊断,表现出乳头状癌、滤泡状癌以及髓样癌患者例数分别为86例、2例以及8例。超声+CT组甲状腺肿伴有甲状腺癌患者诊断准确率高于超声组以及CT组明显,差异有统计学意义(P<0.05);对于96例结节性甲状腺肿伴有甲状腺癌患者,超声诊断异常的患者59例,其中结节形态表现不规则,纵横比不小于1,呈现出边缘毛刺征的情况,同附近组织呈现出的边界不清晰患者共计46例;表现出形态规则,同附近组织呈现出清晰边界的患者13例;对于96例结节性甲状腺肿伴有甲状腺癌患者,CT检查异常的患者71例、形态表现不规则患者46例,其中表现出蟹脚样改变、边缘毛刺征以及边界清晰的患者例数分别为27例、13例以及6例。结节邻近呈现出甲状腺包膜中段的患者38例。结节内表现出钙化病灶的患者50例,主要呈现出颗粒状特点,部分呈现出斑块状特点。结论结节性甲状腺肿伴有甲状腺癌患者在接受诊断期间,超声+CT方法的有效应用,对于疾病诊断准确率的提高表现出显著效果,最终对于甲状腺癌疾病治疗方案的早期研究以及应用奠定基础。

Objective To investigate the clinical value of ultrasound in the diagnosis of nodular goiter associated with thyroid cancer. Methods Convenient selected 96 patients with nodular thyroid tumors with thyroid cancer collected from May2016 to November 2018 were selected as experimental subjects. The clinical diagnosis was performed by ultrasound, CT and ultrasound + CT. The pathological diagnosis results were used as a reference to compare the diagnostic results of the three methods. Results Pathological diagnosis was performed in all patients with nodular goiter associated with thyroid cancer,showing papillary carcinoma and follicles medullary carcinoma, 86 cases, 2 cases and 8 cases, and. The diagnostic accuracy of ultrasound + CT group with thyroid cancer was higher than that of ultrasound group and CT group and the difference was statistically significant(P<0.05);96 cases Nodular goiter associated with thyroid cancer, 59 patients with abnormal ultrasound diagnosis, in which the nodule morphology was irregular, the aspect ratio was not less than 1, showing the appearance of marginal burr, and the boundary presented by the nearby tissue was not clear. A total of 46 patients;showed morphological rules, 13 patients with clear boundaries with nearby tissues;96 patients with nodular thyroid disease with thyroid cancer, 71 patients with abnormal CT findings, irregular morphology patients 46 cases, the number of patients who showed crab-like changes, marginal burr signs, and clear borders were 27 cases, 13 cases and 6 cases respectively. There were 38 patients with nodules in the middle of the thyroid capsule. There were 50 patients with calcified lesions in the nodules,which mainly showed granular characteristics and some showed plaque-like characteristics. Conclusion The effective application of ultrasound + CT method in patients with nodular goiter associated with thyroid cancer during the diagnosis, has a significant effect on the improvement of the accuracy of disease diagnosis, and finally laid the foundation for the early research and application of treatment plans for thyroid cancer diseases.