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目的探讨甲状腺结节应用彩色多普勒超声进行良恶性鉴别诊断的效果。方法选取2014年1月—2015年9月攀枝花市仁和区人民医院收治的65例甲状腺结节患者,采用彩色多普勒超声进行检查,并将其中良性与恶性患者的血流分级与血流参数进行比较,同时比较恶性患者中不同分期与是否伴有淋巴结转移患者的检测结果。结果恶性甲状腺结节患者血流Ⅳ级者比例高于良性患者,且恶性患者中分期较高及伴有淋巴结转移者高于分期较低及无淋巴结转移者,差异有统计学意义(P<0.05)。恶性甲状腺结节患者Vmax、Vmin及RI均高于良性患者,且恶性患者中分期较高及伴有淋巴结转移者高于分期较低及无淋巴结转移者,差异有统计学意义(P<0.05)。结论甲状腺结节应用彩色多普勒超声的良恶性鉴别诊断效果较好,且对恶性患者的严重程度也有积极的诊断价值。
Objective To investigate the effect of color Doppler sonography in differential diagnosis of benign and malignant thyroid nodules. Methods From January 2014 to September 2015, 65 patients with thyroid nodules who were admitted to Renhe District People’s Hospital of Panzhihua City were examined by color Doppler ultrasonography, and the blood flow grade and blood flow parameters of benign and malignant patients Compared the same time, compare the different stages of malignant patients with lymph node metastasis is also associated with the test results. Results The proportion of patients with grade Ⅳ of malignant thyroid nodules was higher than that of benign patients, and the patients with malignant stage had higher stage and lymph node metastasis than those with lower stage and no lymph node metastasis (P <0.05 ). Vmax, Vmin and RI in patients with malignant thyroid nodules were significantly higher than those in benign patients, and those with higher stage and lymph node metastasis were higher in patients with malignant thyroid nodules than those with lower stage and no lymph node metastasis (P <0.05) . Conclusion The diagnosis of benign and malignant thyroid nodules using color Doppler ultrasound is better, and the severity of malignant patients also has a positive diagnostic value.