中国当代医药Issue(3)：92-93,96,3.
超声在甲状腺微小乳头状癌与微小结节性甲状腺肿鉴别诊断中的价值
Ultrasound's value on differential diagnosis of papillary thyroid microcar-cinoma and small nodular goiter
吕琼芳 1李望辉2
作者信息
- 1. 江西省宜丰县人民医院彩超室，江西宜丰 336300
- 2. 江西省宜丰县人民医院五官科，江西宜丰 336300
- 折叠
摘要
Abstract
Objective To evaluate the differential diagnosis value of ultrasound on papillary thyroid microcarcinoma and small nodular goiter. Methods From August 2010 to July 2013,50 patients with small nodules in thyroid were se-lected.After confirmation from postoperative pathological results,papillary microcarcinoma in 28 cases with 32 nodules was categorized into the observation group,and small nodular goiter in 22 cases with 25 nodules was classified into the control group.Data from ultrasonic diagnosis in the two groups were compared and analyzed in order to evaluate differ-ential diagnosis value of ultrasound. Results Hypoecho or hyperecho,regular or irregular shape,clear or vague boundary, and calcification dividing into margin calcification,microcalcification and coarse calcification in the observation group displayed statistical differences in comparison with those in the control group (P<0.05).In the observation group,maxi-mal velocity (Vmax) during arterial systole and resistance index (RI) were both higher than those in the control group. The difference after comparisons both displayed statistical significance (P<0.05).Outcomes from color Doppler ultra-sonography in the two groups indicated that blood flow abundance in the observation group was remarkably higher than that in the control group (P<0.05).Among different classifications of papillary thyroid microcarcinoma,proportion of pa-tients in type II was higher in comparison with that in the control group (P<0.01). Conclusion Ultrasound has a favor-able value on differential diagnosis of papillary thyroid microcarcinoma and small nodular goiter.The characteristics of sound image of the two kinds of diseases should be clearly differentiated in clinic in order to avoid missed diagnosis or misdiagnose.关键词
甲状腺微小乳头状癌/微小结节性甲状腺肿/超声/鉴别Key words
Papillary thyroid microcarcinoma/Small nodular goiter/Ultrasound/Differentiation分类
医药卫生引用本文复制引用
吕琼芳,李望辉..超声在甲状腺微小乳头状癌与微小结节性甲状腺肿鉴别诊断中的价值[J].中国当代医药,2015,(3):92-93,96,3.
