本文關(guān)鍵詞：不同類型的鈣化對甲狀腺良惡性腫瘤的診斷價(jià)值　出處：《中國醫(yī)學(xué)計(jì)算機(jī)成像雜志》2016年02期 　論文類型：期刊論文

  更多相關(guān)文章： 甲狀腺腫瘤 鈣化 超聲

【摘要】：目的:探討不同類型鈣化對甲狀腺良惡性結(jié)節(jié)的診斷價(jià)值。方法:收集284例患者306個(gè)結(jié)節(jié),所有結(jié)節(jié)內(nèi)超聲均發(fā)現(xiàn)鈣化,根據(jù)鈣化形狀不同將其分型,以病理結(jié)果為金標(biāo)準(zhǔn),分為良性組和惡性組,進(jìn)行統(tǒng)計(jì)。結(jié)果:良惡性結(jié)節(jié)均可發(fā)鈣化,在男女發(fā)病率上沒有差異(P=0.242),在結(jié)節(jié)的大小上也沒有差異(P=0.245),在發(fā)病年齡上有顯著差異(P=0.000),不同鈣化類型上,Ⅰ和Ⅱ、Ⅳ間差異有統(tǒng)計(jì)學(xué)意義,Ⅰa和Ⅰb、Ⅰ和Ⅲ、Ⅱ和、Ⅲ、Ⅱ和Ⅳ、Ⅲ和Ⅳ間差異無統(tǒng)計(jì)學(xué)意義。有鈣化結(jié)節(jié)良惡性在邊界、形態(tài)、縱橫比上差異有統(tǒng)計(jì)學(xué)意義,在回聲特質(zhì)上沒有差異。結(jié)論:當(dāng)有鈣化的結(jié)節(jié)出現(xiàn)邊界不清楚、形態(tài)不規(guī)則、縱橫比≥1、低回聲時(shí)考慮惡性可能,微鈣化是診斷惡性的一個(gè)較好的指標(biāo),微鈣化數(shù)越多,惡性可能越大;弧形鈣化良惡性結(jié)節(jié)均可見,粗鈣化及環(huán)狀鈣化多見于良性結(jié)節(jié)。
[Abstract]:Objective: To investigate the diagnostic value of different types of calcification in benign and malignant thyroid nodules. Methods: 284 patients with 306 nodules, nodules were found in all ultrasonic calcification, according to the different shape of calcification type, with pathological results as the gold standard, divided into benign and malignant groups were statistically. Results: benign and malignant can nodules of calcification, in male and female incidence was not different (P=0.242), and there was no difference in nodule size (P=0.245), there was significant difference in age of onset (P=0.000), different types of calcification, I and II IV, there was significant difference between two groups, I a and I B, and I III, II, III, II and IV, there was no significant difference between 3 and 4. Calcified nodules in the boundary, shape, aspect ratio had a significant difference, there is no difference in the echo characteristics. Conclusion: when calcified nodules appeared in the boundary is not clear, irregular shape, aspect When the ratio is more than 1, low echo consider the possibility of malignancy, microcalcification is a better indicator of the diagnosis of malignant microcalcifications, the number, the more likely malignant; malignant and benign nodules were visible curved calcification, coarse calcification and annular calcification usually occurred in benign nodules.

【作者單位】： 四川大學(xué)華西醫(yī)院超聲診斷科;
【分類號】：R445.1;R736.1
【正文快照】： 甲狀腺結(jié)節(jié)是甲狀腺常見的病變,患病率約為樣。如果結(jié)節(jié)內(nèi)同時(shí)伴有微鈣化和粗鈣化時(shí),將其歸17%~27%[1],其中約占5%~15%為甲狀腺惡性腫為記錄為Ⅰ型。以正常甲狀腺組織作為對比,將結(jié)節(jié)瘤[2]。隨著超聲圖像分辨率的提高,甲狀腺結(jié)節(jié)的檢回聲分為低回聲(明顯低于周圍甲狀腺組織回

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本文編號：1368785