超声检查对甲状腺癌的诊断价值分析

Diagnostic value of ultrasonography in thyroid cancer

目的探讨超声检查对甲状腺癌的诊断价值。方法分析60例甲状腺癌患者的临床资料,所有患者均采用二维超声及彩色多普勒超声进行检查,以病理检查结果作为诊断金标准,分析超声检查对不同病理类型甲状腺癌的诊断符合率、声像图特征及血流信号分级情况。结果病理结果显示,60例甲状腺癌患者中,乳头状癌40例,滤泡状癌8例,髓样癌6例,未分化癌6例。超声检查诊断乳头状癌的符合率为95.00%(38/40),诊断滤泡状癌的符合率为87.50%(7/8),诊断髓样癌的符合率为66.7%(4/6),诊断未分化癌的符合率为100%(6/6),总符合率为91.67%(55/60)。超声检查结果显示,乳头状癌形态不规则、低回声、边界不清晰、无声晕、无钙化、未合并其他结节和无淋巴结比例均较高,滤泡状癌无钙化、未合并其他结节和无淋巴结比例均较高,髓样癌未合并其他结节和无淋巴结比例均较高,未分化癌形态不规则、边界不清晰、无声晕、未合并其他结节和无淋巴结比例均较高。60例甲状腺癌患者中,血流信号检出率为96.67%(58/60)。结论对甲状腺癌患者采用超声检查,可根据其不同声像图特征及血流信号分级情况明确不同病理类型,进而为后续治疗提供科学的参考依据,有助于进一步提高患者的临床治疗效果。

Objective To explore the diagnostic value of ultrasonography in thyroid cancer.Method The clinical data of 60 patients with thyroid cancer were analyzed.All patients were examined by two-dimensional ultrasonography and color Doppler ultrasonography.The diagnostic coincidence rate of ultrasonography with different pathological types of thyroid cancer,sonographic features,and the classification of blood flow signals were analyzed by using pathological results as the gold standard.Result The pathological results showed there were 40,8,6,and 6 patients with papillary carcinoma,follicular carcinoma,medullary carcinoma,and undifferentiated carcinoma,respectively in 60 patients with thyroid cancer.The diagnostic coincidence rates of ultrasound in different pathological types of papillary carcinoma,follicular carcinoma,medullary carcinoma,and undifferentiated carcinoma were 95.00%(38/40),87.50%(7/8),66.67%(4/6),100%(6/6),and the total coincidence rate was 91.67%(55/60).The ultrasonography showed the ratio of papillary carcinoma with irregular shape,low echo,unclear boundary,silent halo,no calcification,no other nodules and no lymph node were higher;the ratio of follicular carcinoma without calcification,no other nodules,and no lymph nodes were higher;the ratio of medullary carcinoma without other nodules and lymph nodes were higher;the ratio of undifferentiated carcinoma with irregular shape,unclear border,silent halo,no other nodules,and no lymph nodes were higher.The detection rate of blood flow signals was 96.67%(58/60).Conclusion The ultrasonography in patients with thyroid cancer can clarify the pathological type based on different sonographic features and blood flow signals,which can provide reference for subsequent treatment and improve the clinical treatment effect.