[1]孙洪洋,刘文波,姜 阳,等.二维超声与彩色多普勒超声诊断甲状腺良恶性结节的临床应用价值[J].医学信息,2022,35(03):178-180.[doi:10.3969/j.issn.1006-1959.2022.03.048]
　SUN Hong-yang,LIU Wen-bo,JIANG Yang,et al.The Clinical Application Value of Two-dimensional Ultrasound and Color Doppler Ultrasoundin the Diagnosis of Benign and Malignant Thyroid Nodules[J].Medical Information,2022,35(03):178-180.[doi:10.3969/j.issn.1006-1959.2022.03.048]
点击复制

二维超声与彩色多普勒超声诊断甲状腺良恶性结节的临床应用价值()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年03期
页码:
178-180
栏目:
诊疗技术
出版日期:
2022-02-01

文章信息/Info

Title:
The Clinical Application Value of Two-dimensional Ultrasound and Color Doppler Ultrasoundin the Diagnosis of Benign and Malignant Thyroid Nodules
文章编号:
1006-1959（2022）03-0178-03
作者:
孙洪洋; 刘文波; 姜 阳; 王 婷; 张 颖; 杨 欣
佳木斯市中心医院物理诊断科，黑龙江 佳木斯 154002
Author(s):
SUN Hong-yang; LIU Wen-bo; JIANG Yang; WANG Ting; ZHANG Ying; YANG Xin
Department of Physical Diagnosis,Jiamusi Central Hospital,Jiamusi 154002,Heilongjiang,China
关键词:
二维超声; 彩色多普勒超声; 甲状腺; 良恶性结节
Keywords:
Two-dimensional ultrasound; Color Doppler ultrasound; Thyroid; Benign and malignant nodules
分类号:
R445.1；R581
DOI:
10.3969/j.issn.1006-1959.2022.03.048
文献标志码:
A
摘要:
目的 研究二维超声与彩色多普勒超声诊断甲状腺良恶性结节的价值。方法 选取2020年4月-2021年4月我院经手术病理确诊的74例甲状腺结节患者为研究对象，均进行二维超声及彩色多普勒超声检查，比较二维超声与彩色多普勒超声的诊断准确率、良恶性超声征象分布特点，二维超声与彩色多普勒超声及二维超声联合彩色多普勒超声诊断的敏感度、特异度。结果 二维超声联合彩色多普勒超声诊断甲状腺良性、恶性结节的准确率均高于二维超声、彩色多普勒超声诊断，且彩色多普勒超声诊断高于二维超声诊断，差异有统计学意义（P＜0.05）；二维超声诊断良性结节边界清晰、囊实质、形态规则发生率均高于恶性结节患者，低回声、微钙化发生率低于恶性结节患者，差异有统计学意义（P＜0.05）；彩色多普勒超声诊断，良性结节Ⅰ级血流信号发生率均高于恶性结节，Ⅱ、Ⅲ级血流信号发生率低于恶性结节，差异有统计学意义（P＜0.05）；二维超声联合彩色多普勒超声诊断敏感度、特异度均高于二维超声、彩色多普勒超声单独诊断，且彩色多普勒超声诊断高于二维超声诊断，差异有统计学意义（P＜0.05）。结论 二维超声联合彩色多普勒超声诊断甲状腺良恶性结节敏感度、特异度均较高，具有重要的临床价值，可为临床甲状腺良恶性结节鉴别诊断提供可靠的参考依据。
Abstract:
Objective To study the value of two-dimensional ultrasound and color Doppler ultrasound in the diagnosis of benign and malignant thyroid nodules.Methods A total of 74 patients with thyroid nodules diagnosed by surgery and pathology in our hospital from April 2020 to April 2021 were selected as the research objects. All patients underwent two-dimensional ultrasound and color Doppler ultrasound. The diagnostic accuracy of two-dimensional ultrasound and color Doppler ultrasound, the distribution characteristics of benign and malignant ultrasound signs, the sensitivity and specificity of two-dimensional ultrasound and color Doppler ultrasound and two-dimensional ultrasound combined with color Doppler ultrasound were compared.Results The accuracy of two-dimensional ultrasound combined with color Doppler ultrasound in the diagnosis of benign and malignant thyroid nodules was higher than that of two-dimensional ultrasound and color Doppler ultrasound, and the diagnosis of color Doppler ultrasound was higher than that of two-dimensional ultrasound, the difference was statistically significant (P<0.05). The incidence of clear boundary, cystic parenchyma and regular morphology of benign nodules diagnosed by two-dimensional ultrasound was higher than that of malignant nodules, and the incidence of hypoechoic and microcalcifications was lower than that of malignant nodules, and the difference was statistically significant (P<0.05). The incidence of grade Ⅰ blood flow signals in benign nodules was higher than that in malignant nodules, and the incidence of grade Ⅱ and Ⅲ blood flow signals was lower than that in malignant nodules, the difference was statistically significant (P<0.05). The diagnostic sensitivity and specificity of two-dimensional ultrasound combined with color Doppler ultrasound were higher than those of two-dimensional ultrasound and color Doppler ultrasound alone, and the diagnosis of color Doppler ultrasound was higher than that of two-dimensional ultrasound (P<0.05).Conclusion The sensitivity and specificity of two-dimensional ultrasound combined with color Doppler ultrasound in the diagnosis of benign and malignant thyroid nodules are high, which has important clinical value and can provide reliable reference for the differential diagnosis of benign and malignant thyroid nodules.

参考文献/References:

[1]郭艳,夏雨,戴理平,等.超声造影在甲状腺结节鉴别诊断及良性结节微波消融治疗中的应用价值[J].现代生物医学进展,2020,20(20):3929-3932.[2]童瑾,黄磊,李军,等.声触诊组织量化成像联合超声造影鉴别诊断TI-RADS4类良恶性甲状腺结节[J].中国医学影像技术,2020,36(6):828-833.[3]刘学梅,李伟.二维超声与彩色多普勒超声诊断甲状腺良恶性结节的临床应用价值[J].中国医学物理学杂志,2015(5):755-757.[4]王凯.2DUS联合CDFI对甲状腺良恶性结节诊断准确率的影响[J].黑龙江医药科学,2020,43(3):92-93.[5]张志文.高频超声对甲状腺微小乳头状癌临床诊断价值的探讨[D].济南:山东大学,2015.[6]冯占武.常规超声及弹性成像对甲状腺结节的鉴别诊断价值[D].广州:南方医科大学,2015.[7]杜妍妍.超声在甲状腺良、恶性结节的鉴别诊断中的价值[J].中国医药导报,2015,6(20):177-178.[8]杨丽娟,江波,郝艳敏,等.彩色多普勒超声联合超声弹性成像对甲状腺良恶性结节的鉴别诊断价值[J].河北医药,2020,42(9):1376-1378,1382.[9]陈爱华.二维超声联合彩色多普勒超声鉴别甲状腺良恶性结节的价值探讨[J].基层医学论坛,2020,24(14):2005-2006.[10]郭淑香.超声弹性成像对甲状腺结节诊断的敏感性和特异性分析[J].医学影像学杂志,2019,29(6):3.[11]宋青,田晓琦,兰雨,等.常规超声联合超声造影诊断部分囊性甲状腺结节良恶性的价值[J].中国医学影像学杂志,2020,28(3):5.[12]孔晶,杨薇,金金,等.超微血管显像、能量多普勒及彩色多普勒血流显像对甲状腺结节的诊断价值比较[J].中华超声影像学杂志,2018,27(7):595-598.[13]蔡应娱,邢晋放,金宇飚,等.超声微小强回声征象在鉴别诊断甲状腺结节良恶性中的应用价值[J].临床超声医学杂志,2017,19(2):126-128.[14]黄雪,夏红梅,谭开彬,等.超声及CT诊断甲状腺良恶性结节的临床研究[J].中国CT和MRI杂志,2017,15(2):39-41.[15]宋磊,侯雪琴,董建,等.二维超声联合超声造影诊断甲状腺微小癌的准确性研究[J].医学研究杂志,2016,45(9):152-156.[16]胡正明,钟洁愉,蔡华丽,等.常规超声及超声造影在甲状腺微小癌诊断中的应用价值[J].临床超声医学杂志,2016,18(3):177-180.[17]陈瑛,于明安,闫娟,等.超声造影对不同大小甲状腺结节良恶性诊断价值[J].陕西医学杂志,2017,46(4):446-447.

相似文献/References:

[1]白玲玲.彩色多普勒超声在下肢深静脉血栓诊断中的价值[J].医学信息,2018,31(02):152.[doi:10.3969/j.issn.1006-1959.2018.02.058]
　BAI Ling-ling.Value of Color Doppler Ultrasound in the Diagnosis of Deep Vein Thrombosis of Lower Extremities[J].Medical Information,2018,31(03):152.[doi:10.3969/j.issn.1006-1959.2018.02.058]
[2]杜 丽.彩色多普勒超声诊断鉴别甲状腺良恶性肿瘤的效果评价[J].医学信息,2018,31(05):162.[doi:10.3969/j.issn.1006-1959.2018.05.059]
　DU Li.Evaluation of the Effect of Color Doppler Ultrasound in the Diagnosis and Differentiation of Benign and Malignant Thyroid Tumors[J].Medical Information,2018,31(03):162.[doi:10.3969/j.issn.1006-1959.2018.05.059]
[3]颜 艳.超声心动图在诊断二尖瓣脱垂中的应用价值[J].医学信息,2018,31(08):149.[doi:10.3969/j.issn.1006-1959.2018.08.052]
　YAN Yan.Value of Echocardiography in the Diagnosis of Mitral Valve Prolapse[J].Medical Information,2018,31(03):149.[doi:10.3969/j.issn.1006-1959.2018.08.052]
[4]郑 莉.经阴道彩色多普勒超声早期诊断宫外孕的临床价值分析[J].医学信息,2018,31(09):159.[doi:10.3969/j.issn.1006-1959.2018.09.052]
　ZHENG Li.Clinical Value of Transvaginal Color Doppler Ultrasound in the Early Diagnosis of Ectopic Pregnancy[J].Medical Information,2018,31(03):159.[doi:10.3969/j.issn.1006-1959.2018.09.052]
[5]方 静,苏建芬.宫颈内口处彩色多普勒超声诊断价值[J].医学信息,2018,31(18):152.[doi:10.3969/j.issn.1006-1959.2018.18.049]
　FANG Jing,SU JIan-fen.Diagnostic Value of Color Doppler Ultrasonography in Cervical Intraoral Region[J].Medical Information,2018,31(03):152.[doi:10.3969/j.issn.1006-1959.2018.18.049]
[6]胡 艳.彩超检查肝硬化结节和原发性微小肝癌的临床应用及鉴别诊断价值[J].医学信息,2022,35(16):147.[doi:10.3969/j.issn.1006-1959.2022.16.038]
　HU Yan.Clinical Application and Differential Diagnosis Value of Color Doppler Ultrasound Examination of Liver Cirrhosis Nodules and Primary Small Hepatocellular Carcinoma[J].Medical Information,2022,35(03):147.[doi:10.3969/j.issn.1006-1959.2022.16.038]
[7]邓星星.彩色多普勒超声和MSCTA在主动脉夹层中的影像学表现及分型检出情况[J].医学信息,2020,33(12):160.[doi:10.3969/j.issn.1006-1959.2020.12.052]
　DENG Xing-xing.Color Doppler Ultrasonography and MSCTA Imaging Findings and Type Detection in Aortic Dissection[J].Medical Information,2020,33(03):160.[doi:10.3969/j.issn.1006-1959.2020.12.052]
[8]张俭民,陈保根.产前超声检查对胎儿泌尿系统畸形的诊断作用[J].医学信息,2021,34(23):178.[doi:10.3969/j.issn.1006-1959.2021.23.054]
　ZHANG Jian-min,CHEN Bao-gen.Diagnosis of Fetal Urinary System Malformation by Prenatal Ultrasonography[J].Medical Information,2021,34(03):178.[doi:10.3969/j.issn.1006-1959.2021.23.054]
[9]赵克刚,周宏伟,张艳华,等.彩色多普勒超声诊断男性不育精索静脉曲张的价值[J].医学信息,2021,34(01):170.[doi:10.3969/j.issn.1006-1959.2021.01.047]
　ZHAO Ke-gang,ZHOU Hong-wei,ZHANG Yan-hua,et al.The Value of Color Doppler Ultrasound in Diagnosing Male Infertile Varicocele[J].Medical Information,2021,34(03):170.[doi:10.3969/j.issn.1006-1959.2021.01.047]
[10]章晓兰,梅 莉,李 尊,等.彩色多普勒超声联合X射线钼靶诊断乳腺结节的价值[J].医学信息,2022,35(23):89.[doi:10.3969/j.issn.1006-1959.2022.23.015]
　ZHANG Xiao-lan,MEI Li,LI Zun,et al.Value of Color Doppler Ultrasound Combined with X-ray Mammography in Diagnosis of Breast Nodules[J].Medical Information,2022,35(03):89.[doi:10.3969/j.issn.1006-1959.2022.23.015]
[11]仲月琴.二维超声联合彩色多普勒超声在鉴别诊断卵巢良恶性肿瘤中的价值[J].医学信息,2023,36(20):169.[doi:10.3969/j.issn.1006-1959.2023.20.035]
　ZHONG Yue-qin.Value of Two-dimensional Ultrasound Combined with Color Doppler Ultrasound in the Differential Diagnosis of Benign and Malignant Ovarian Tumors[J].Medical Information,2023,36(03):169.[doi:10.3969/j.issn.1006-1959.2023.20.035]
[12]胡 赢,罗小红.二维超声与彩色多普勒超声诊断乳腺肿块的临床价值[J].医学信息,2024,37(15):138.[doi:10.3969/j.issn.1006-1959.2024.15.032]
　HU Ying,LUO Xiao-hong.Clinical Value of Two-dimensional Ultrasound and Color Doppler Ultrasound in the Diagnosis of Breast Masses[J].Medical Information,2024,37(03):138.[doi:10.3969/j.issn.1006-1959.2024.15.032]

更新日期/Last Update: 1900-01-01