105例分化型甲状腺癌的超声比较分析
投稿时间:2015-01-11  修订日期:2016-01-13  点此下载全文
引用本文:张琪,魏枫,王龙龙,闫斌,刘岩.105例分化型甲状腺癌的超声比较分析[J].医学研究杂志,2016,45(8):83-84,79
DOI: 10.11969/j.issn.1673-548X.2016.08.022
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作者单位E-mail
张琪 014010 包头医学院第一附属医院内分泌科
包头医学院 
 
魏枫 014010 包头医学院第一附属医院内分泌科 weifeng00530079@sina.com 
王龙龙 包头市肿瘤医院  
闫斌 包头医学院第一附属医院普外二科  
刘岩 014010 包头医学院第一附属医院内分泌科  
基金项目:内蒙古自然科学基金资助项目(2012MS1160)
中文摘要:目的 分析比较105例分化型甲状腺癌的超声声像图特点,探讨其对分化型甲状腺癌的诊断价值,降低术前超声误诊率。方法 回顾性分析105例分化型甲状腺癌患者的术前超声声像图,按照术后病理结果分为甲状腺乳头状癌组(PTC组)和甲状腺滤泡癌组(FTC组),对两组癌结节的大小、回声水平、边界、形态、钙化及转移情况进行比较分析。结果 PTC组的癌结节较小(10.22±4.94mm),以低回声为主(80.00%,84/105),边界模糊(84.76%,89/105),形态不规则(86.67%,94/105),伴微小钙化(78.09%,82/105),有颈部淋巴结转移(34.78%,32/92);FTC组的癌结节较大(15.25±6.13mm),低回声比例高(71.43%,10/14),边界清晰(57.14%,8/14),形态规则(64.29%,9/14),多无钙化(57.14%,8/14),少部分可伴边缘钙化(28.57,4/14),易发生血行转移(30.77%,4/13)。结论 PTC超声表现典型,临床上较易鉴别,对缺乏恶性征象FTC术前超声可根据病灶大小、钙化及转移特点结合细针穿刺结果判断结节良恶性,有效地减少临床误诊。
中文关键词:分化型甲状腺癌  超声
 
Comparative Analysis of 105 Patients' Sonographic Features in Differentiated Thyroid Cancer
Abstract:Objective To investigate and compare the sonographic findings,and explore the diagnostic value,reduce the preoperative misdiagnosis rate. Methods Recording ultrasonographic data of 105 patients with differentiated thyroid cancer before surgery was performed. According to the postoperative pathologic results,the patients were divided into the papillary thyroid carcinoma group(PTC group) and follicular thyroid carcinoma group (FTC group).Statistical analysis of their size,echo,boundary,shape, calcification and transfer was made. Results Nodules of PTC were smaller(10.22±4.94mm), low echo (80.00%, 84/105),fuzzy boundary(84.76%,89/105),irregular form(86.67%,94/105),tiny calcification(78.09%,82/105),neck lymph node transfer(34.78%,32/92).Nodules of FTC were bigger(15.25±6.13mm),low echo(71.43%,10/14),clear boundary(57.14%,8/14), regular form(64.29%,9/14),no calcifications(57.14%,8/14),a small number of it with edge calcification (28.57%,4/14),blood metastasis(30.77%,4/13). Conclusion Sonographic findings of PTC is typical and easy to identify.FTC is lack of malignant signs,but according to the size,calcification,transfer characteristics and fine needle biopsy results can effectively reduce clinical misdiagnosis.
keywords:Differentiated thyroid cancer  Ultrasound
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