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目的探究常规超声结合超声造影用于甲状腺微小乳头状癌的临床诊断效果。方法选取我院的79例甲状腺微小乳头状癌患者,共计161个结节,术前对患者进行常规超声及超声造影检查,记录检查结果,术后行病理切片,与术前检查结果进行比较,对比分析超声造影特点及声像图表现,探究常规超声结合超声造影的临床诊断情况。结果 79例患者中,患甲状腺癌单发结节患者35例,患多发结节患者44例;经术后病例对照,超声诊断正确的患者为70例,准确率为88.61%;超声声像图显示,结节回声低,无包膜包裹,边缘较为模糊,形态规则性欠佳,后方回声减弱,部分结节血流不充足;经常规超声造影诊断显示,甲状腺微小乳头状癌结节不均匀增强,结节增强过程中仅少数结节表现为正常增强。结伦临床上采用常规超声联合超声造影对甲状腺微小乳头状癌的诊断效果比较理想,同时可以对结界内与周围甲状腺进行比较,可行性高。
Objective To investigate the effect of conventional ultrasound combined with contrast-enhanced ultrasound in the diagnosis of thyroid micropapillary carcinoma. Methods A total of 169 nodules of thyroid micropapillary carcinoma in our hospital were selected from 79 patients. Conventional ultrasound and contrast-enhanced ultrasonography were performed on the patients before operation. The results were recorded. Pathological sections were performed after surgery and compared with preoperative examination results. The features of contrast-enhanced ultrasound and sonographic findings were compared to investigate the clinical diagnosis of conventional ultrasound combined with contrast-enhanced ultrasound. Results In 79 patients, there were 35 patients with solitary nodules of thyroid cancer and 44 patients with multiple nodules. After the postoperative case control, 70 patients were correctly diagnosed with ultrasound. The accuracy rate was 88.61%; Ultrasound sonogram Showed low echo nodules, no wraps, blurred edges, poor regularity, diminished posterior echo, and insufficient blood flow in some of the nodules; diagnosis by conventional contrast-enhanced ultrasound showed that the thyroid micropapillary tumors were not uniform. Only a few nodules showed normal enhancement during enhancement. The use of conventional ultrasound combined with contrast-enhanced ultrasound in the clinical diagnosis of thyroid micropapillary carcinoma is ideal. At the same time, it can be compared with the surrounding thyroid gland within the enchantment, the feasibility is high.