[1]孙 阳.甲状腺结节钙化在超声诊断甲状腺癌中的价值[J].医学信息,2019,32(24):173-174.[doi:10.3969/j.issn.1006-1959.2019.24.064]
　SUN Yang.The Value of Thyroid Nodule Calcification in Ultrasound Diagnosis of Thyroid Cancer[J].Medical Information,2019,32(24):173-174.[doi:10.3969/j.issn.1006-1959.2019.24.064]
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甲状腺结节钙化在超声诊断甲状腺癌中的价值()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年24期
页码:
173-174
栏目:
诊疗技术
出版日期:
2019-12-15

文章信息/Info

Title:
The Value of Thyroid Nodule Calcification in Ultrasound Diagnosis of Thyroid Cancer
文章编号:
1006-1959（2019）24-0173-02
作者:
孙 阳
（南开大学附属医院/天津市第四医院超声科，天津 300222）
Author(s):
SUN Yang
(Affiliated Hospital of Nankai University/Department of Ultrasound,Tianjin Fourth Hospital,Tianjin 300222,China)
关键词:
甲状腺; 结节钙化; 超声诊断; 甲状腺癌
Keywords:
Thyroid; Nodular calcification; Ultrasound diagnosis; Thyroid cancer
分类号:
R445.1；R736.1
DOI:
10.3969/j.issn.1006-1959.2019.24.064
文献标志码:
A
摘要:
目的 分析甲状腺结节钙化在超声诊断甲状腺癌中的价值。方法 选取2017年1月~2019年5月在我院诊治的94例甲状腺结节伴钙化患者临床资料，比较术前超声诊断钙化灶情况与临床病理诊断结果，分析甲状腺结节钙化与超声诊断甲状腺癌之间的相关性。结果 病理检查确诊良性结节56例，恶性结节38例；超声检查显示恶性结节患者的钙化结节单发76.31%、边界不清晰83.92%、钙化灶微钙化71.05%，均高于良性结节患者的44.64%、10.52%、28.57%，差异有统计学意义（P＜0.05）；恶性甲状腺肿瘤患者病理类型不同，其结节钙化情况也不同，甲状腺结节微钙化比均高于粗钙化比，差异有统计学意义（P＜0.05）。结论 甲状腺结节钙化可作为临床超声诊断与鉴别甲状腺癌的重要依据，结节单发、边界不清晰、钙化灶微钙化有助于甲状腺癌的鉴别诊断。
Abstract:
Objective To analyze the value of thyroid nodule calcification in ultrasound diagnosis of thyroid cancer.Methods The clinical data of 94 thyroid nodules with calcification diagnosed and treated in our hospital from January 2017 to May 2019 were compared. The preoperative ultrasound diagnosis of calcified lesions and the clinical pathological diagnosis were compared. The thyroid nodule calcification and ultrasound diagnosis of thyroid were analyzed correlation between cancers. Results 56 cases of benign nodules were confirmed by pathological examination and 38 cases of malignant nodules. Ultrasound showed that calcified nodules in malignant nodules were 76.31% single, 83.92% were unclear, and calcified microcalcification was 71.05%. 44.64%, 10.52%, and 28.57% of the patients were statistically significant (P<0.05); patients with malignant thyroid tumors had different pathological types and their nodule calcifications were different, and the microcalcification ratio of thyroid nodules was higher than the crude calcification ratio,the difference was statistically significant (P<0.05).Conclusion Thyroid nodule calcification can be used as an important basis for clinical ultrasound diagnosis and differentiation of thyroid cancer. Single nodules, unclear boundaries, and microcalcification of calcified lesions are helpful for the differential diagnosis of thyroid cancer.

参考文献/References:

[1]王季圆.甲状腺结节钙化在超声诊断甲状腺癌中的价值[J].中国实用医药,2015,20(1):108-109.[2]张晓红,陈文惠,陈建芳.超声检查甲状腺结节普通钙化及微钙化对甲状腺癌的诊断价值分析[J].检验医学与临床,2014,25(15):2115-2117.[3]李晨,郭文斌,李建宁,等.超声对甲状腺结节钙化的类型及其与甲状腺癌关系探讨[J].实用医技杂志,2015,22(8):807-809.[4]曾群英.超声检查甲状腺结节钙化及微钙化对甲状腺癌鉴别诊断的临床意义[J].中国现代医生,2014,52(16):85-89.[5]马丽芬,张耀仁,苏振丽,等.甲状腺结节钙化模式与甲状腺癌的相关性分析[J].实用癌症杂志,2015,30(10):1504-1506.

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更新日期/Last Update: 2019-12-15