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超声造影在结节性甲状腺肿背景下良恶性结节鉴别诊断中的应用价值

孔凡雷 包凌云 雷志锴 黄安茜 朱罗茜 许亮

浙江医学Issue(14):1333-1335,3.
浙江医学Issue(14):1333-1335,3.

超声造影在结节性甲状腺肿背景下良恶性结节鉴别诊断中的应用价值

Application of contrast-enhanced ultrasonography for differentiation between benign and malignant thyroid nodules in patients with nodular goiter

孔凡雷 1包凌云 1雷志锴 1黄安茜 1朱罗茜 1许亮1

作者信息

  • 1. 310006 杭州市第一人民医院超声影像科
  • 折叠

摘要

Abstract

Objective To evaluate the application of contrast- enhanced ultrasonography (CEUS) in differential diagnosis between benign and malignant thyroid nodules in patients with nodular goiter. Methods One hundred and five suspected thy-roid nodules in patients with the nodular goiter were examined by CEUS. The enhanced characteristics of the nodules were ana-lyzed and the pathological diagnosis was obtained from surgical y resected nodules. Results The dominant enhanced pattern was isoenhancement for benign thyroid nodules (39.5%, 15/38) and hypoenhancement for the malignant one (44.8%, 30/67) re-spectively. There was significant difference of the enhanced pattern between benign and malignant nodules(P<0.05). Most of the nodules appeared as heterogeneous enhancement both in benign(60.5%) or malignant (68.7%) ones. Most of the malignant nod-ules (62.7%, 42/67) presented "wash- in slowly"and "wash- out simultaneously"signs, whereas 50% of the benign nodules ap-peared as"wash- in simultaneously"and"wash- out simultaneously"signs(P<0.01). Conclusion CEUS is valuable in the diagno-sis of benign and malignant thyroid nodules in patients with nodular goiter.

关键词

结节性甲状腺肿/超声检查/超声造影

Key words

Nodular goitre/Ultrasonography/Contrast- enhanced ultrasonography

引用本文复制引用

孔凡雷,包凌云,雷志锴,黄安茜,朱罗茜,许亮..超声造影在结节性甲状腺肿背景下良恶性结节鉴别诊断中的应用价值[J].浙江医学,2013,(14):1333-1335,3.

基金项目

杭州市医药卫生科技计划项目(2010A001);杭州市科技计划引导项目 ()

浙江医学

OACSTPCD

1006-2785

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