王美卿

[摘要] 目的 分析甲狀腺癌患者接受二维及彩色多普勒超声诊断的价值。方法 方便按抽样法选取该院2018年1月—2019年1月收治的43例疑似甲状腺癌患者为观察组，并同期选取43例疑似甲状腺腺瘤的患者为对照组，二者均以二维及彩色多普勒超声仪进行诊断，对比二者诊断符合率以及相关指标和超声图像变化。 结果 二维及彩色多普勒超声诊断符合率对比差异无统计学意义（P>0.05）;观察组Ⅰ级血流信号（2.33%）和Ⅲ级血流信号（9.30%）比例低于对照组（27.91%）和（25.58%）（χ2=10.965，P=0.001;χ2=3.957，P=0.047）;观察组Ⅱ级血流信号（88.37%）比例高于对照组（46.51%）（χ2=17.158，P=0.000）;观察组动脉收缩期峰值速度以及阻力指数明显高于对照组（t=5.644，P=0.000;t=6.546，P=0.000）;观察组二维超声结果中周边无声晕（86.05%）、微钙化灶（81.40%）以及低回声（69.77%）比例明显高于对照组（27.91%）、（23.26%）和（18.60%）（χ2=29.647，P=0.000;χ2=29.133，P=0.000;χ2=22.820，P=0.000）。结论 以二维及彩色多普勒超声进行诊断可提高临床早期判别甲状腺癌和甲状腺腺瘤的准确性。

[关键词] 甲状腺癌;二维超声;彩色多普勒超声;甲状腺腺瘤;超声图像

[中图分类号] R5          [文献标识码] A          [文章编号] 1674-0742（2020）03（a）-0180-04

Exploring the Value of Two-dimensional and Color Doppler Ultrasound Diagnosis for Patients with Thyroid Cancer

WANG Mei-qing

Department of Ultrasound， Xiamen Hong'ai Hospital， Fujian Medical University， Xiamen， Fujian Province， 361000 China

[Abstract] Objective To analyze the value of two-dimensional and color Doppler ultrasound diagnosis of patients with thyroid cancer. Methods According to the sampling survey method， 43 patients with suspected thyroid cancer treated in the hospital from January 2018 to January 2019 were convenient selected as the observation group， and 43 patients with suspected thyroid adenoma were selected as the control group at the same time. The diagnosis was performed with a color Doppler ultrasound system， and the diagnostic coincidence rate， related indicators， and changes in ultrasound images were compared. Results There was no statistically significant difference in the coincidence rate of two-dimensional and color Doppler ultrasound diagnosis （P>0.05）. The proportion of grade Ⅰ blood flow signal （2.33%） and grade Ⅲ blood flow signal （9.30%） in the observation group was lower than that in the control group （ 27.91%） and （25.58%） （χ2=10.965，P=0.001; χ2= 3.957，P=0.047）; the proportion of grade II blood flow signals （88.37%） in the observation group was higher than that in the control group （46.51%） （χ2= 17.158，P=0.000）; the peak velocity and resistance index of arterial systole in the observation group were significantly higher than those in the control group（t=5.644， P=0.000; t=6.546， P=0.000）; Two-dimensional ultrasound results in the observation group neutralized the peripheral no sound halo （86.05%）， micro-calcifications （81.40%）， and low echo （69.77%） were significantly higher than the control group （27.91%）， （23.26%）， and （18.60%） （χ2= 29.647， P=0.000;χ2 = 29.133， P=0.000; χ2= 22.820， P=0.000）. Conclusion Two-dimensional and color Doppler ultrasound diagnosis can improve the accuracy of early diagnosis of thyroid cancer and thyroid adenoma.

[Key words] Thyroid cancer; Two-dimensional ultrasound; Color Doppler ultrasound; Thyroid adenoma; Ultrasound image

甲状腺癌是一种常见病和多发病，也是外科最常见的恶性肿瘤，在所有全身性恶性肿瘤中占比在1%左右[1]。甲状腺癌致病机制较为复杂，临床调查发现其发生与种族、地区、性别等有极大的关系，早期多无特异性症状和体征，极易出现漏诊和误诊的现象，进而延误患者治疗时机，对其身心健康和生命安全产生严重影响[2]。近几年，随着临床医学技术和设备的更新发展，甲状腺癌早期诊断方式呈现多样化，其中最为常见的即为超声[3-4]。为进……