超声造影联合常规超声诊断甲状腺微小乳头癌的临床诊断价值

《超声造影联合常规超声诊断甲状腺微小乳头癌的临床诊断价值》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。

1、超声造影联合常规超声诊断甲状腺微小乳头癌的临床诊断价值[摘耍]日的探究与分析超声造影联合常规超声诊断甲状腺微小乳头癌的临床效果。方法随机选取并回顾性分析该院自2013年9月一2015年9月收治的80例甲状腺微小乳头状癌患者的临床资料，该组患者共162个结节，术前给予患者常规超声及超声造影检查，并记录了检查结果，将术后病理切片并与术前检查结果进行对比，对比与分析超声造影特点与声像图表现。结果经过术后病理学检测，80例患者中行超声造影联合常规超声术前诊断准确率为87.50%(70/80),其屮35例患者合并发生淋巴结转移，转移率为43.75%,经过超声检测可见全部患者共有155个甲状腺微小乳头

2、状癌结节。甲状腺微小乳头状癌结节与正常甲状腺组织相比始增时间显著延长，峰值时间明显缩短，差异有统计学意义(P<0.05)o结论采用超声造影联合常规超声诊断甲状腺微小乳头状癌的临床效果较为显著，具有较高的可行性，可同时对甲状腺结节及周围甲状腺组织进行对比，可作为一种理想诊断方法应用于临床工作中。[Abstract]ObjectiveToexploreandanalyzetheclinicaleffectofcontrast-enhancedultrasoundcombinedwithconvention且1ultrasoundinthediagnosisofpapillarythyroidm

3、icrocarcinoma・MethodsAretrospectiveanalysiswasconductedontheclinicaldataof80caseswithpapillarythyroidmicrocarcinoma(162nodules)admittedinourhospitaifromSeptember2013toSeptember2015.Beforesurgery,thepatientsunderwentthecontrast-enhancedultrasoundandconventionalultrasound.Andthetestresultswererecord

4、edandcomparedwiththepostoperativepathologicalresults.Themanifestationsofthecontrast-enhancedultrasoundandsonogramwerecomparedandanalyzed.ResultsTheresultsofpostoperativepathologicalexaminationshowedthat,theaccuracyofcontrast-enhancedultrasoundandconventionalultrasoundinthediagnosisofthe80caseswas8

5、7.50%(70/80)•35caseswerecomplicatedbylymphaticmetastasis,themetastaticratewas43.75%.Atotalof155nodulesofpapillarythyroidcarcinomawerefoundinallthepatientsbytheultrasonictest.Theinitiationtimeofenhancementwasmoreprolongedandthepeaktimewasmuchshorterinthenodulesofpapi1larythyroidcarcinomathanintheno

6、nrialthyroidtissuewithstatisticallysignificantdifference(P<0.05)・ConclusionContrast-enhancedultrasoundcombinedwithconventionalultrasoundhassignificantclinicaleffectinthetreatmentofpapillarythyroidmicrocarcinomawithhighfeasibilityandthisdiagnosiscancomparethethyroidnoduleandperipheralthyroidtissue,

7、soitcanbeusedasanidealdiagnosticmethodintheclinicalwork.[Keywords]Contrast-enhancedultrasound；Conventionalultrasound；Papillarythyroidmicrocarcinoma甲状腺结节作为临床上一类较为常见的内分泌疾病，据调查研究资料显示，通过高分辨率超声检查可见甲状腺结节?—患率高达19%〜67%,在