结节性甲状腺肿伴瘢痕形成与甲状腺微小乳头状癌的超声声像图特征分析

Ultrasonic Characteristics of Nodular Goiter with Scar Formation and Papillary Carcinoma of Thyroid

目的:分析结节性甲状腺肿伴瘢痕形成与甲状腺微小乳头状癌患者采用超声诊断的声像图特征。方法:纳入时间为2018年12月~2019年12月,其中30例结节性甲状腺肿伴瘢痕形成患者设为结节性甲状腺肿伴瘢痕形成组;30例甲状腺微小乳头状癌患者设为甲状腺微小乳头状癌组。所有患者均采用超声进行检查,分析比较。结果:甲状腺微小乳头状癌组结节数量多发、边界模糊、形态不规则、微钙化比例,颈动脉收缩期最大流速PSV水平值(44.08±4.14)cm/s、阻力指数RI水平值(0.77±0.06),均明显高于结节性甲状腺肿伴瘢痕形成组(P<0.05)。结论:结节性甲状腺肿伴瘢痕形成与甲状腺微小乳头状癌患者采用超声诊断的声像图特征比较存在显著差异性。

Objective:To analyze the sonographic features of patients with nodular goiter with scar formation and micropapillary thyroid carcinoma using ultrasound diagnosis.Methods:The enrollment period was from December 2018 to December 2019.Among them,30 patients with nodular goiter with scar formation were set as the nodular goiter with scar formation group;30 patients with papillary thyroid micropapillary carcinoma were set as thyroid Papillary microcarcinoma group.All patients were examined by ultrasound for analysis and comparison.Results:The proportion of multiple nodules,the proportion of blurred borders,the proportion of irregular shapes,the proportion of microcalcifications,the maximum velocity of carotid systolic PSV level(44.08±4.14)cm/s,and the resistance index RI level in the microthyroid papillary carcinoma group(0.77±0.06),were significantly higher than those in nodular goiter with scar formation group(P<0.05).Conclusion:There are significant differences in the sonographic features of nodular goiter with scar formation and ultrasonographic diagnosis in patients with thyroid micropapillary carcinoma.