中国医药科学2023，Vol.13Issue(24)：34-38,5.DOI:10.20116/j.issn2095-0616.2023.24.08
超声造影和US-FNAB在甲状腺结节良恶性鉴别中的应用
Application of contrast-enhanced ultrasound and US-FNAB in the differentiation of benign and malignant thyroid nodules
摘要
Abstract
Thyroid nodules are a type of common clinical disease.Currently,many studies have confirmed that contrast-enhanced ultrasound and ultrasound-guided fine-needle aspiration biopsy of thyroid nodules can further improve diagnostic efficiency in the differentiation of benign and malignant thyroid nodules.Ultrasound-guided fine-needle aspiration biopsy(US-FNAB)of thyroid nodules has high accuracy and good safety.However,due to the high dependence on sampling and reader experience,inherent characteristics of nodules and other objective factors,there is still a possibility of false negatives to varying degrees.Therefore,a more precise guidance plan needs to be explored.Contrast-enhanced ultrasound can provide real-time dynamic and continuous observation on the surrounding tissues of the lesion and microvessels within the lesion,including the distribution and blood flow perfusion of the lesion's blood vessels.However,the impact of overlapping and background ultrasound on the imaging results has led to controversy over the diagnostic value of contrast-enhanced ultrasound in the diagnosis of benign and malignant nodules.US-FNAB is of great significance for the preoperative differentiation of benign and malignant nodules.However,the two methods mentioned above have varying degrees of limitations when used alone.The contrast-enhanced thyroid ultrasound can provide more microvascular information for thyroid nodules.To better clarify the nature of thyroid nodules and avoid excessive or delayed treatment,it is necessary to explore a more precise guidance plan.Contrast-enhanced ultrasound is considered a valuable complementary method for fine-needle aspiration biopsy,but how contrast-enhanced ultrasound can be better combined with US-FNAB,which may be a new research direction.关键词
甲状腺结节/超声造影/细针穿刺活检/良恶性鉴别Key words
Thyroid nodules/Contrast-enhanced ultrasound/Fine-needle aspiration biopsy/Differentiation of benign and malignant分类
医药卫生引用本文复制引用
谭玉琪,卢丽萍..超声造影和US-FNAB在甲状腺结节良恶性鉴别中的应用[J].中国医药科学,2023,13(24):34-38,5.基金项目
广东省佛山市卫生健康局医学科研课题(20210395). （20210395）
