超声诊断甲状腺乳头状癌57例分析

目的: 探讨超声检查对甲状腺乳头状癌(papillary thyroid carcinoma,PTC)的诊断价值。方法: 对术前诊断为甲状腺占位并经病理证实的57例PTC患者的超声图像及血流情况进行回顾性分析。结果: 超声图像表现为甲状腺实质内低回声结节47例,囊实性结节10例;形态不规则、无包膜50例,结节内可见微钙化34例;内部血供较丰富或血流形态紊乱41例。术前超声诊断与术后病理诊断符合48例,符合率为84.21%。结论: 超声检查对PTC的诊断具有较大的临床意义,能为临床早期诊断和手术治疗提供有价值的参考依据。

Ultrasonography diagnosis of papillary thyroid carcinoma:a report of 57 cases

Objective： To assess the value of ultrasonography in diagnosis of papillary thyroid carcinoma （lYFC）. Methods： The ultrasonography and color Dopple＇s flowmeter image features of 57 cases of PTC diagnosed before surgery and proved by histopathology were analyzed retrospectively. Results ：The ultrasound images revealed that 47 of the cases had hypoechoic nodules in the parenchyma of the thyroid and 10 had solid and cystic nodules; 50 cases presented irregular shape and no capsule, 34 cases nodular microcalcification and 41 cases rich internal blood supply or blood flow disturbance. Forty-eight cases preoperative uhrasonography in the diagnosis and postoperative diagnosis accord ,compliance rate was 84.21%. Conclusions ：Ultrasonographic features that can provide useful infnrmztian far earlv diaenosis and surgical theranv.that are of great value in manazement of PTC.