彩色多普勒超声诊断甲状腺结节临床研究

目的探讨彩色多普勒超声(CDFI)对甲状腺结节的临床诊断价值。方法对53例甲状腺结节患者进行CDFI检查。结果良性甲状腺结节45例,恶性结节(甲状腺癌)8例,超声诊断阳性符合率为83.1%。良性甲状腺结节形态多规则,边界清楚,内部结构可表现为实性和囊性;恶性甲状腺结节形态多不规则、边界模糊,内部结构多为实性。甲状腺腺瘤与甲状腺癌0或1级较少,而结节性甲状腺肿较多。结论 CDFI对甲状腺结节的良、恶性可作初步诊断鉴别。

Clinical research on Color Doppler ultrasound in diagnosis of thyroid nodules

Objective To observe the diagnosis value of Color Doppler ultrasound in diagnosis of thyroid nodules.Methods 53 cases of thyroid nodules underwent color Doppler ultrasonography.Results There were 45 cases of benign nodules,and 8 of malignant.Diagnostic coincidence rate of ultrasound was 83.1%.The result showed that benign thyroid nodule morphology had multiple irregular shape,vague boundary,and internal structure for solid.Benign thyroid nodule morphology showed clear boundary,and internal structure can be performed for solid and cystic.Malignant thyroid nodules form irregular,vague boundary,internal structure for solid.Benign thyroid nodule morphology showed clear boundary,and internal structure can be performed for solid and cystic.Thyroid carcinoma and adenoma in 0 or 1 grade was less,but nodular goiter was more.Conclusion Color Doppler ultrasound can be used to diagnosis of benign and malignant thyroid nodules preliminarily.