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目的探讨高频彩色多普勒超声法检查甲状腺癌超声图像的特征。方法对2011年4月至2014年8月间治疗的150例乳头状甲状腺癌患者采用高频色彩色多普勒超声检查,分析乳头状甲状腺癌的超声图像特征。结果不同病理类型的超声图像特征亦不同,乳头状癌边界不清晰,内部呈点状钙化,乳头状癌部分呈蟹足样或毛刺状,内部呈低回声或混合性回声,局部有明显的血流信号,有晕环(多数好像没有晕环)。结论彩色多普勒超声检查可提供丰富的声像图像,同时可显示彩色血流信号,但是需要结合临床症状和超声图像特征对乳头状甲状腺癌进行诊断,值得在临床上推广使用。
Objective To investigate the characteristics of ultrasonographic examination of thyroid cancer by high-frequency color Doppler ultrasonography. Methods 150 cases of papillary thyroid carcinoma treated between April 2011 and August 2014 were analyzed by high frequency color Doppler ultrasonography to analyze the characteristics of papillary thyroid carcinoma. Results Different pathological types of ultrasound image characteristics are also different, the border of papillary carcinoma is not clear, the internal was dot-like calcification, papillary carcinoma part was crab-like or burr-like, internal hypoechoic or mixed echo, local obvious blood Flow signal, Halo (most do not seem to Halo). Conclusions Color Doppler ultrasound can provide plentiful sonographic images and display color blood flow signals at the same time. However, it is necessary to diagnose papillary thyroid carcinoma in combination with clinical symptoms and ultrasonographic features, which is worthy of clinical application.