| 蒋大磊,范小明,黄志良.超声造影对伴有钙化灶的甲状腺结节良恶性诊断价值的研究[J].肿瘤学杂志,2013,19(10):783-786. |
| 超声造影对伴有钙化灶的甲状腺结节良恶性诊断价值的研究 |
| Value of Contrast-enhanced Ultrasonography Differential Dia-gnosis for Benign or Malignant Thyroid Nodules with Calcification |
| 投稿时间：2013-08-01 |
| DOI：10.11735/j.issn.1671-170X.2013.10.B009 |
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| 中文关键词: 超声造影 钙化灶 超声检查 甲状腺结节 |
| 英文关键词:contrast-enhanced ultrasound calcification ultrasound thyroid nodules |
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| 中文摘要: |
| 摘 要：［目的］ 探讨超声造影技术对于评价伴有钙化灶的甲状腺结节良恶性诊断的临床价值。［方法］ 回顾性分析121例经二维超声检查后发现甲状腺结节并伴有钙化灶的甲状腺结节患者，其中84例为甲状腺癌，37例为良性结节。观察两组造影结果，比较两者在造影增强模式的差异。［结果］ 恶性结节组砂粒样钙化灶的构成比显著高于良性结节组（P<0.01）。超声造影模式中不均匀增强结节，在恶性结节中的检出率明显高于良性结节，两组间差异有统计学意义（P<0.01）。环形增强结节在良性结节中的检出率明显高于恶性结节，两组间差异具有统计学意义（P<0.01）。［结论］结合对甲状腺结节超声造影时不同增强模式的分析，对于分辨伴有钙化灶的甲状腺良恶性结节有积极意义。 |
| 英文摘要: |
| Abstract：［Purpose］ To investigate the clinical contrast-enhanced ultrasonography differential diagnosis for benign or malignant thyroid nodules with calcification.［Methods］ The image chara-cteristics of high frequency ultrasound of 121 thyroid nodules with calcification were analyzed retrospectively. There were 84 malignant nodules and 37 benign nodules. The results of contrast-enhanced ultrasonography were observed，and these data were analyzed and compared. ［Results］ The microcalcification rate in the malignant group was significantly higher than that in the benign group（P<0.01）. In the inhomogeneous enhancement，the difference between benign and malignant thyroid nodules was statistically significant. In the ring enhance，the difference between benign and malignant thyroid nodules was statistically significant. ［Conclusion］ Sonographic thyroid calcification is a valuable marker for thyroid cancer. Contrast-enhanced ultrasonography will be very useful to diagnosis for benign or malignant thyroid nodules with calcification. |
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