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彩色多普勒超声诊断甲状腺微小癌的临床价值

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目的:探讨彩色多普勒超声在甲状腺微小癌诊断中的应用效果.方法:选取2020年1月~2022年12月本院120例甲状腺病变患者,所有患者均采取二维超声检查与彩色多普勒超声检查,以病理检查结果为金标准,对二维超声及彩色多普勒超声诊断结果进行分析.结果:彩色多普勒超声诊断准确率及灵敏度较二维超声高(P<0.05);而诊断特异度未见明显差异(P>0.05).纵横比≥1、低回声、血流丰富、微小钙化占比方面,甲状腺恶性病变与良性病变存在显著差异(P<0.05);PSV及RI方面,恶性病变PSV比良性病变低(P<0.05);良性病变与恶性病变RI未见显著差异(P>0.05).结论:彩色多普勒超声在甲状腺微小癌诊断中应用价值较高,其能够鉴别病灶的良恶性,为疾病的诊治提供了参考.
Clinical Value of Color Doppler Ultrasonography in the Diagnosis of Thyroid Microcarcinoma
Objective:To explore the application of color Doppler ultrasound in the diagnosis of thyroid microcarcinoma.Methods:120 patients with thyroid diseases in our hospital from January 2020 to December 2022 were selected.All patients were examined by two-dimensional ultrasound and color Doppler ultrasound.The results of two-dimensional ultrasound and color Doppler ultrasound were analyzed based on the pathological examination results as the gold standard.Results:The diagnostic accuracy and sensitivity of color Doppler ultrasound were higher than that of two-dimensional ultrasound(P<0.05);There was no significant difference in diagnostic specificity(P>0.05).In terms of aspect ratio≥1,low echo,rich blood flow,and the proportion of microcalcification,there was a significant difference between malignant and benign thyroid lesions(P<0.05);In terms of PSV and RI,the PSV of malignant lesions was lower than that of benign lesions(P<0.05);There was no significant difference in RI between benign and malignant lesions(P>0.05).Conclusion:Color Doppler ultrasound is of high value in the diagnosis of thyroid microcarcinoma,which can differentiate benign and malignant lesions and provide a reference for the diagnosis and treatment of diseases.

thyroid glandmicrocarcinomacolor Doppler ultrasound

王慧

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天津市第一医院(天津 300150)

甲状腺 微小癌 彩色多普勒超声

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(2)
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