| 甲状腺肿瘤的彩色多普勒超声显像与病理对照分析 |
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| 引用本文： | 徐易,刘莹,白晶,李龙,郭存丽,王志华. 甲状腺肿瘤的彩色多普勒超声显像与病理对照分析[J]. 实用肿瘤学杂志, 2010, 24(3): 252-254,267. DOI: 10.3969/j.issn.1002-3070.2010.03.014 |
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| 作者姓名： | 徐易 刘莹 白晶 李龙 郭存丽 王志华 |
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| 作者单位： | 哈尔滨医科大学附属肿瘤医院,哈尔滨,150081 |
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| 摘 要： | 目的通过甲状腺肿瘤的声像图特征与病理结果的对照分析，提高彩色多普勒超声的诊断符合率。方法对经手术或细胞学穿刺病理证实的37例甲状腺腺瘤（腺瘤），78例结节性甲状腺肿（结甲）及35例甲状腺癌的二维及彩色多普勒超声的声像图特征与病理对照分析。结果腺瘤、结甲与甲状腺癌的肿块周边及内部血流参数Vmax和RI之间差异有统计学意义（P〈0．01），Vmin之间差异无统计学意义（P〉0．05）。超声在甲状腺肿瘤的诊断中具有较高的灵敏度及特异度。甲状腺腺瘤包膜、边缘晕环及环状血流；结节性甲状腺肿多发结节、结节周同组织回声改变以及甲状腺癌低回声及钙化在诊断中特异性较高。但多源性肿块的存在，如腺瘤、结甲伴甲状腺癌缺乏上述特征，误诊率较高。结论彩色多普勒超声可诊断甲状腺肿瘤的性质（实质性或囊性、混合性），鉴别肿块的良恶性，观察肿块内部及周边血流情况的分布，对手术治疗有着一定的指导意义，且它又是一种简便、廉价、准确、重复性好的检查方法，应列为甲状腺术前首选的常规检查。
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| 关 键 词： | 甲状腺肿瘤 彩色多普勒超声 病理对照 |
Analysis made by comparing the color doppler ultrasound characteristics with pathologic examination of thyroid tumor |
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| XU Yi,LIU Ying,BAI Jing,LI Long,GUO Cunli,WANG Zhihua. Analysis made by comparing the color doppler ultrasound characteristics with pathologic examination of thyroid tumor[J]. Journal of Practical Oncology, 2010, 24(3): 252-254,267. DOI: 10.3969/j.issn.1002-3070.2010.03.014 |
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| Authors: | XU Yi LIU Ying BAI Jing LI Long GUO Cunli WANG Zhihua |
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| Affiliation: | .( The Tumor Hospital of Harbin Medical University, Harbin 150081) |
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| Abstract: | Objective The analysis made by comparing the Ultrasound characteristics with pathologic result of thyroid tumor, improve coincidence rate of diagnosis by Color Doppler Ultrasound. Methods The paper reviewed 150 patients of thyroid tumor that have been confirmed bv postoperative pathology,including of 37 thyroid adenomas,78 nodular goiters, 35 thyroid carcinoma. Analysis made by comparing the 2D and the color doppler ultrasound characteristics with pathologic examination. Results The interior and ambitus Vmax and RI of thyroid carcinoma are obviously highly thyroid adenomas and nodular goiters. The specificity of diagnosis is highly, such as peplos and circularity blood of the thyroid adenomas ;low echo - level and calcification of thyroid carcinoma. But thyroid adenomas and nodular goiters easily misdiagnosis because of diverseness tumor. Conclusion Color doppler ultrasound may diagnose the thyroid tumor properties （substantive or cystic mass,mixed）, the benign and malignancy,observing blood b -flow conditions and the internal distribution of operation treatment, has certain directive significance,and it is a simple, inexpensive, accurate and good repeatability, inspection method for routine inspection of thyroid preoperative. |
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| Keywords: | Thyroid tumor Color doppler ultrasound Pathologic comparison |
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