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2D、CDFI、PW及3D-CPA评价甲状腺结节良恶性89例分析
引用本文:郑敏,穆丹梅,戴险峰,梁笑,刘磊,魏晓冬. 2D、CDFI、PW及3D-CPA评价甲状腺结节良恶性89例分析[J]. 中国肿瘤, 2008, 17(7): 615-617
作者姓名:郑敏  穆丹梅  戴险峰  梁笑  刘磊  魏晓冬
作者单位:1. 哈尔滨医科大学附属第一医院,黑龙江,哈尔滨,150001
2. 哈尔滨医科大学附属第一医院,黑龙江,哈尔滨,150001;大庆油田总医院,黑龙江,大庆,163001
3. 大庆油田总医院,黑龙江,大庆,163001
4. 齐齐哈尔医学院第二附属医院,黑龙江,齐齐哈尔,161001
摘    要:[目的]探讨运用二维超声(2D)、彩色多普勒血流显像(CDFI)、频谱多普勒(PW)、三维彩色血流能量图(3D-CPA)诊断甲状腺结节良恶性的价值。[方法]分析89例甲状腺结节患者的2D、CDFI、PW、3D-CPA,并与手术病理结果对照。[结果]甲状腺良恶性结节在边界、形态、钙化、声晕、血流分级、最大峰值流速PSV、阻力指数RI方面均有显著性差异。3D-CPA结合CDFI能更清晰地显示甲状腺结节空间及内部的血流特征。[结论]综合运用2D、CDFI、PW、3D-CPA能明显提高甲状腺结协诊断的准确率。

关 键 词:甲状腺结节  二维超声  彩色多普勒血流显像  频谱多普勒  三维彩色能量图

Differentiating Malignant from Benign Thyroid Nodules with 2D,CDFI,PW and 3D-CPA in 89 Cases
Affiliation:ZHENG Min, MU Dan-mei, DAI Xian-feng, et al. (1. The First Hospital of Harbin Medical University, Harbin 150001, China; 2.Daqing Oilfield General Hospital, Daqing 163001, China)
Abstract:[Purpose] To explore the value of two-dimension uhrasound(2D), color doppler flow imaging (CDFI), pulse wave doppler (PW) and three-dimension color power angiography (3D-CPA) in differentiating malignant from benign thyroid nodules. [Methods ] The uhrasonography features including 2D, CDFI, PW and 3D-CPA finding in 89 cases with thyroid nodules were analyzed and compared with pathological results. [Results] There were significant difference between malignant and benign thyroid nodules in boundary, appearance, calcification, acoustic halo, blood grading, PSV and RI. 3D-CPA combined with CDFI could clearly show the blood feature of thyroid nodules. [Conclusion ] Combination of 2D, CDFI, PW and 3D-CPA images can improve the diagnostic accuracy for thyroid nodules.
Keywords:thyroid nodules  two-dimension ultrasound  color doppler flow imaging  pulse wave doppler  three-dimension color power angiography
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