[1]熊金花,万 琴.彩色多普勒超声诊断甲状腺肿瘤的临床价值及影像特征研究[J].医学信息,2024,37(16):149-152.[doi:10.3969/j.issn.1006-1959.2024.16.035]
　XIONG Jin-hua,WAN Qin.The Clinical Value and Imaging Features of Color Doppler Ultrasoundin the Diagnosis of Thyroid Tumors[J].Journal of Medical Information,2024,37(16):149-152.[doi:10.3969/j.issn.1006-1959.2024.16.035]
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彩色多普勒超声诊断甲状腺肿瘤的临床价值及影像特征研究()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年16期
页码:
149-152
栏目:
诊疗技术
出版日期:
2024-08-15

文章信息/Info

Title:
The Clinical Value and Imaging Features of Color Doppler Ultrasoundin the Diagnosis of Thyroid Tumors
文章编号:
1006-1959（2024）16-0149-04
作者:
熊金花; 万 琴
宜丰县人民医院超声医学科，江西 宜丰 336300
Author(s):
XIONG Jin-hua; WAN Qin
Department of Ultrasound Medicine,Yifeng County People’s Hospital,Yifeng 336300,Jiangxi,China
关键词:
彩色多普勒超声; 甲状腺肿瘤; 影像特征
Keywords:
Color Doppler ultrasound; Thyroid tumors; Imaging features
分类号:
R736.1；R445.1
DOI:
10.3969/j.issn.1006-1959.2024.16.035
文献标志码:
A
摘要:
目的 研究彩色多普勒超声诊断甲状腺肿瘤的临床价值及影像特征。方法 选取2020年3月-2023年3月我院诊治的80例甲状腺肿瘤患者为研究对象，以病理诊断为标准（良性49例，恶性31例），均进行彩色多普勒超声检查，观察彩色多普勒超声检出率、诊断效能（灵敏度、特异度、准确率、阳性预测值、阴性预测值）、与病理诊断结果—致性、良性肿瘤阻力指数和收缩期、舒张末期峰值血液流速以及影像特征。结果 80例经彩色多普勒超声检出75例，诊断准确率为93.75%，其中乳头状瘤29例、滤泡状瘤2例、甲状腺瘤41例、囊肿8例；彩色多普勒超声对甲状腺肿瘤的灵敏度为93.88%、特异度为93.55%、阳性预测值为95.83%、阴性预测值为90.63%；恶性甲状腺肿瘤患者收缩期峰值流速、阻力指数均高于良性甲状腺肿瘤，舒张末期血流速度高低于良性甲状腺肿瘤（P＜0.05）；恶性甲状腺肿瘤患者超声影像回声衰减、边界不清晰、形态不规则、微钙化、回声不均匀发生率均高于良性甲状腺肿瘤患者（P＜0.05）。结论 彩色多普勒超声诊断甲状腺肿瘤具有较高的临床价值，并且收缩期峰值流速、阻力指数、舒张末期血流速度以及影像特征显著，利于良恶性甲状腺肿瘤的鉴别诊断。
Abstract:
Objective To study the clinical value and imaging features of color Doppler ultrasound in the diagnosis of thyroid tumors.Methods A total of 80 patients with thyroid tumors diagnosed and treated in our hospital from March 2020 to March 2023 were selected as the research objects. All patients were examined by color Doppler ultrasound with pathological diagnosis as the standard (49 patients were benign tumors and 31 patients were malignant tumors). The detection rate, diagnostic efficiency (sensitivity, specificity, accuracy, positive predictive value and negative predictive value), consistency with pathological diagnosis results, resistance index of benign tumors, peak systolic and end diastolic blood flow velocity and imaging characteristics of color Doppler ultrasound were observed.Results Among the 80 cases, 75 cases were detected by color Doppler ultrasound, and the diagnostic accuracy was 93.75%, including 29 cases of papilloma, 2 cases of follicular tumor, 41 cases of thyroid tumor and 8 cases of cyst. The sensitivity of color Doppler ultrasound in the diagnosis of thyroid tumors was 93.88%, the specificity was 93.55%, the positive predictive value was 95.83%, and the negative predictive value was 90.63%. The peak systolic velocity and resistance index of patients with malignant thyroid tumors were higher than those of benign thyroid tumors, and the end-diastolic blood flow velocity was higher than that of benign thyroid tumors (P<0.05). The incidence of echo attenuation, unclear boundary, irregular shape, microcalcification and uneven echo in patients with malignant thyroid tumors was higher than that in patients with benign thyroid tumors (P<0.05).Conclusion Color Doppler ultrasound has high clinical value in the diagnosis of thyroid tumors, and the peak systolic velocity, resistance index, end-diastolic blood flow velocity and imaging features are significant, which is conducive to the differential diagnosis of benign and malignant thyroid tumors.

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更新日期/Last Update: 1900-01-01