超声鉴别诊断甲状腺癌与结节性甲状腺肿的临床意义分析

Analysis of the clinical significance of ultrasound in differential diagnosis of thyroid cancer and nodular goiter

目的 分析超声鉴别诊断甲状腺癌与结节性甲状腺肿的临床意义。方法 选取50例甲状腺癌患者作为甲状腺癌组, 50例结节性甲状腺肿患者作为结节性甲状腺肿组。两组均实施超声检查。计算两组患者疾病检出率,并对比两组患者结节超声表现。结果 甲状腺癌组检出47例,疾病检出率为94.00%;结节性甲状腺肿组检出48例,疾病检出率为96.00%。甲状腺癌组患者结节低回声、血流Ⅱ~Ⅲ级、边缘模糊及有钙化占比分别为82.00%、80.00%、86.00%、82.00%;结节性甲状腺肿组患者结节低回声、血流Ⅱ~Ⅲ级、边缘模糊及有钙化占比分别为8.00%、18.00%、16.00%、6.00%。甲状腺癌组患者结节低回声、血流Ⅱ~Ⅲ级、边缘模糊及有钙化占比均高于结节性甲状腺肿组,差异有统计学意义(P<0.05)。结论 超声检查用于甲状腺癌与结节性甲状腺肿的临床鉴别中具有积极意义,可为患者的疾病治疗提供可靠依据。

Objective To observe the clinical significance of ultrasound in differential diagnosis of thyroid cancer and nodular goiter.Methods 50 patients with thyroid cancer were selected as the thyroid cancer group,and 50 patients with nodular goiter were selected as the nodular goiter group.Ultrasound examination was performed in both groups.The disease detection rate of the two groups was calculated,and the ultrasound manifestations of nodules in the two groups were compared.Results In the thyroid cancer group,47 cases were detected,and the disease detection rate was 94.00%;in the nodular goiter group,48 cases were detected,and the disease detection rate was 96.00%.In the thyroid cancer group,the nodules with hypoechoic,gradeⅡ-Ⅲblood flow,blurred edges and calcification accounted for 82.00%,80.00%,86.00%,and 82.00%,respectively;in the nodular goiter group,the nodule hypoechoic,blood flow gradeⅡ-Ⅲ,blurred edge and calcification accounted for 8.00%,18.00%,16.00%,and 6.00%,respectively.The proportions of nodules with hypoechoic,gradeⅡ-Ⅲblood flow,blurred edges and calcification in the thyroid cancer group were higher than those in the nodular goiter group,and the differences were all statistically significant(P<0.05).Conclusion Ultrasound examination has positive significance in the clinical differentiation of thyroid cancer and nodular goiter,and can provide reliable basis for the treatment of patients.