苏善勇

[摘要] 目的 分析彩色多普勒超声诊断甲状腺癌的临床效果。 方法 随机抽取该院在2014年1月—2015年1月间收治的甲状腺肿块患者44例患者作为研究对象，均给予彩色多普勒超声和CT扫描检查，对比两种方法检测的结果。 结果 彩色多普勒超声诊断结果显示：44例患者中乳头状癌患者有30例，滤泡状癌患者有3例，髓样癌患者2例，未分化癌患者有4例；CT结果显示：44例患者中乳头状癌患者有26例，滤泡状癌患者有3例，髓样癌患者2例，未分化癌患者有2例。診断正确率分别为：88.6%和75.0%，彩超诊断结果的准确率明显高于CT扫描检查，组间差异有统计学意义（P<0.05）。 结论 对甲状腺癌患者行术前彩色多普勒超声诊断，有着较高的临床准确率，值得临床大力推广。

[关键词] 彩色多普勒超声；甲状腺癌；临床效果

[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2018）02（a）-0179-03

Effect of Color Doppler Ultrasound in Diagnosis of Thyroid Carcinoma

SU Shan-yong

Department of Ultrasound， Inner Mongolia General Hospital of Forestry （Second Clinical Medical College of Inner Mongolia University for the Nationalities）， Hulunbeier， Inner Mongolia， 022150 China

[Abstract] Objective This paper tries to analyze the clinical effect of color Doppler ultrasound in diagnosis of thyroid carcinoma. Methods 44 patients in this hospital were randomly selected from January 2014 to January 2015 as the research object， and they were given color Doppler ultrasound and CT scan， comparing the two methods of detection results. Results The color Doppler ultrasound in the diagnosis of 44 cases of patients with papillary carcinoma in 30 patients， patients with follicular carcinoma in 3 cases， 2 cases of medullary carcinoma， undifferentiated carcinoma in 4 patients； CT results showed that 44 cases of papillary carcinoma in 26 patients， patients with follicular carcinoma in 3 cases， 2 cases of medullary carcinoma， undifferentiated carcinoma in 2 patients. The correct rate of diagnosis was 88.6% and 75.0%， the accuracy rate of ultrasound diagnosis results was significantly higher than that of CT scan， there was statistically significant difference（P<0.05）. Conclusion On ultrasonic for thyroid cancer patients preoperative color Doppler diagnosis has high clinical accuracy， it is worthy of clinical promotion.

[Key words] Color Doppler ultrasound； Thyroid carcinoma； Clinical effect

随着社会经济条件的不断发展，社会生存环境也呈现出较大变化，甲状腺类疾病患者人数也出现大幅度的增长。在这其中，甲状腺癌患者的数量异军突起，受到了临床上重点关注。甲状腺癌属于人体内分泌系统病变后的产物，其在人体头部、颈部恶性肿瘤发病率较高，如未能及时对该病诊断，患者很有可能面临生命危险[1]。近年来，临床上通常采用CT检查、MRI检查或彩色多普勒超声诊断办法对甲状腺癌进行初期诊断，但是不同的检查办法存在一定的诊断差异[2]。为了分析彩色多普勒超声诊断的使用价值，该院随机选取2014年1月—2015年1月间收治的甲状腺癌患者44例开展该次研究，现报道如下。

1 资料与方法

1.1 一般资料

随机抽取该院收治的甲状腺肿块患者44例开展该次研究，所有患者均在临床诊断中初步怀疑为甲状腺癌。……