三维能量多普勒超声在良恶性甲状腺肿瘤中的诊断价值

doi:10.3969/j.issn.1671-7171.2016.10.034

摘要
图/表
参考文献
相关文章 (15)

全文: PDF (1251 KB) HTML (1 KB)
输出: BibTeX | EndNote (RIS)

摘要【目的】探讨三维能量多普勒超声诊断良恶性甲状腺肿瘤中的诊断价值。【方法】回顾性分析2011年5月至2015年7月本院收治的76例经手术或病理确诊为甲状腺肿瘤患者的临床资料,所有患者入院后均已接受三维能量多普勒超声检查,且影像学资料完整,观察良恶性甲状腺肿瘤血流特点,评定三维能量多普勒超声在甲状腺良恶性肿瘤鉴别中的价值。【结果】 ①良性甲状腺肿瘤患者灰阶值(MG)高于恶性患者(P<0.05),血管化指数(VI)、血流指数(FI)、血管化血流指数(VFI)低于恶性肿瘤患者,其差异有统计学意义(P<0.05);②良、恶性甲状腺肿瘤血流分级Ⅱ级所占比例比较差异无统计学意义(P>0.05),良性肿瘤患者血流Ⅰ级所占比例明显高于恶性者,Ⅲ级所占比例低于恶性者,其差异有统计学意义(P<0.05);③良性甲状腺肿瘤血流分布外周所占比例、血管规则走行比例及空间分布对称比例均高于恶性肿瘤者,其差异有统计学意义(P<0.05);④三维能量多普勒超声检出良性甲状腺肿瘤31例,其中29例确诊,2例误诊;恶性45例,其中40例确诊,5例误诊,其整体诊断符合率为90.79%(69/76)。【结论】采用三维能量多普勒超声诊断甲状腺良恶性肿瘤,与病理诊断符合度高,可清晰显示肿瘤血流分布、血管特点及内部结构,且操作简单、无创,值得临床推广应用。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	马玉霞
	马继贤

关键词 ：超声检查, 多普勒/方法, 甲状腺肿瘤/超声检查, 诊断, 鉴别

Abstract：【Objective】To explore clinical value of three dimensional (3D) power Doppler ultrasound in the diagnosis of benign and malignant thyroid tumors. 【Methods】 A retrospective analysis of clinical data was carried out in 76 patients with thyroid tumors confirmed by operation or pathology in our hospital from May 2011 to July 2015, all patients had received three dimensional power Doppler ultrasound examination after admission, and the imaging data were complete, features of blood flow of benign and malignant thyroid tumors were observed, and diagnostic value of three dimensional power Doppler ultrasound for thyroid benign and malignant tumors were evaluated. 【Results】 ①Gray scale values (MG) of patients with benign thyroid tumors were significantly higher than patients with malignant thyroid tumors (P<0.05), the vascular index (VI), blood flow index (FI) and vascular blood flow index (VFI) were significantly lower than those with malignant tumor (P<0.05); ②there was no significant difference in the proportion of blood flow grading gradeⅡ in benign and malignant thyroid tumors (P>0.05), the proportion of grade Ⅰin patients with benign tumors was significantly higher than that of the malignant , and the proportion of grade Ⅲ was significantly lower than that of the malignant (P<0.05); ③the proportion of peripheral blood flow distribution , the vascular rule and the spatial distribution symmetry in benign thyroid tumors were significantly higher than those with the malignant (P<0.05); ④31 cases of benign thyroid tumors were detected by 3D power Doppler ultrasound, including 29 cases confirmed and 2 cases misdiagnosed; 45 cases of malignant tumors, among which 40 cases were confirmed and 5 misdiagnosed , and the overall diagnostic accordance rate was 90.79%(69/76). 【Conclusion】 The diagnosis of benign and malignant tumors of the thyroid gland with three-dimensional power Doppler ultrasound is in good agreement with the pathological diagnosis, which can clearly show the tumor blood flow distribution, vascular characteristics and internal structure. The operation is simple without wound, it is worth clinical application.

Key words： Ultrasonography, Doppler/MT Thyroid Neoplasms/US Diagnosis, Differential

收稿日期: 2016-06-22

PACS:

R736.1

引用本文:

马玉霞;马继贤. 三维能量多普勒超声在良恶性甲状腺肿瘤中的诊断价值[J]. 医学临床研究, 2016, 33(10): 1972-1975.
MA Yu-xia, MA Ji-xian. Clinical Analysis of 3D Power Doppler Ultrasound in Diagnosis of Benign and Malignant Thyroid Tumors. JOURNAL OF CLINICAL RESEARCH, 2016, 33(10): 1972-1975.

链接本文:

http://www.jcr.net.cn/CN/10.3969/j.issn.1671-7171.2016.10.034 或 http://www.jcr.net.cn/CN/Y2016/V33/I10/1972

[1] 马振,刘雪玲,雷蓓,等.三维能量多普勒超声对良恶性甲状腺肿瘤的鉴别诊断[J].西部医学,2015,27(4):574-576.
[2] 顾艳,周胜利,周莹,等.CT和超声对甲状腺多发结节的诊断价值[J].放射学实践,2012,27(4):382-385.
[3] 鄢曹鑫,罗志艳,刘学明,等.常规超声与超声弹性成像联合评分诊断甲状腺良恶性占位的探讨[J].中华医学杂志,2013,93(21):1630-1633.
[4] 甘科红,丛淑珍,李康,等.甲状腺乳头状癌超声特征与病理结果对比分析[J].实用医学杂志,2011,27(11):1988-1990.
[5] 王雪伟,黄小云,郭卫红,等.甲状腺癌超声征象与病理组织学类型及临床分期的相关性[J].中国医学影像学杂志,2012,20(3):216-219.
[6] 刘文英,杨薇,严昆,等.超声结合增强CT对甲状腺癌术后局部复发/残留的诊断价值[J].中华超声影像学杂志,2013,22(9):776-779.
[7] 谷莹,韩志江,许亮,等.甲状腺微小乳头状癌与微小结节性甲状腺肿的超声鉴别[J].中国超声医学杂志,2013,29(3):211-214.
[8] 毛雪芬,卓亚佩,莫春燕,等.超声弹性成像在甲状腺肿瘤诊断中的应用价值研究[J].中国全科医学,2011,14(6):685-687.
[9] 郑雅兰,郑媛媛,王谷一,等.不同大小及深度的甲状腺结节超声弹性成像的临床研究[J].中国临床医学影像杂志,2013,24(5):357-359.
[10] 肖艳,李秀兰,邹丽,等.彩色多普勒超声在甲状腺癌诊断中的作用评价[J].湖南师范大学学报(医学版),2015,12(2):83-85.
[11] 郭世伟,王伟军,蒋小琴,等.超声探测甲状腺结节内钙化与甲状腺癌的相关性[J].肿瘤学杂志,2011,17(8):592-594.
[12] 江将,张平,王志宏,等.超声探测甲状腺结节钙化对甲状腺癌的诊断价值[J].中华普通外科杂志,2012,27(8):623-626.
[13] 马振, 刘雪玲, 雷蓓,等. 三维能量多普勒超声对良恶性甲状腺肿瘤的鉴别诊断[J].西部医学, 2015, 27(4):574-576.
[14] 唐丹,张新国,王刚,等.甲状腺癌与甲状腺良性结节的多普勒超声对比研究[J].医学临床研究,2010,27(1):158-159.
[15] 温乔,李晓桐,梁平,等.甲状腺彩色超声对甲状腺良性结节与甲状腺癌的诊断价值[J].湖南师范大学学报(医学版),2015,12(5):80-82.
[16] 王军.血管内皮生长因子和血小板反应素-1在甲状腺乳头状癌中的表达及其与肿瘤血管生成的关系[J].中国医师进修杂志,2013,36(5):64-65,67.
[17] 胡杨志, 潘运龙, 赵晓旭,等. 甲状腺素与肿瘤血管生成[J]. 国际肿瘤学杂志, 2012, 39(8):573-575.