高含　宋旭升

【摘要】 目的：探讨对甲状腺微小乳头状癌及微小结节性甲状腺肿患者应用超声诊断方式进行鉴别的临床价值。方法：随机抽取2017年5月-2019年5月于笔者所在医院进行诊治处理的甲状腺微小乳头状癌患者68例，并将其作为A组，另选取同期的微小结节性甲状腺肿患者68例，将其视作B组。给予全部入选患者超声诊断处理，观察、分析两组患者的超声诊断结果。结果：相较于B组，A组的阻力指数、动脉收缩期峰值速率均明显增高（P<0.05）;两组的病灶边界表现、病灶形态、病灶钙化程度、病灶回声情况等影像学检查结果对比，差异有统计学意义（P<0.05）;相较于B组，A组的血流丰富程度更高（P<0.05）。结论：对甲状腺微小乳头状癌及微小结节性甲状腺肿患者应用超声诊断方式进行鉴别，诊断精准度相对较高，能够为后续的临床治疗提供更加可靠、准确的诊断依据，临床应用价值十分理想。

【关键词】 甲状腺微小乳头状癌 微小结节性甲状腺肿 超声 鉴别价值

doi：10.14033/j.cnki.cfmr.2020.18.027 文献标识码 B 文章编号 1674-6805（2020）18-00-03

Ultrasound Differential Diagnosis of Papillary Thyroid Carcinoma and Nodular Goiter/GAO Han， SONG Xusheng.//Chinese and Foreign Medical Research， 2020， 18（18）： -66

[Abstract] Objective： To explore the clinical value of ultrasound in the differential diagnosis of papillary thyroid cancer and nodular goiter. Method： A total of 68 patients with papillary thyroid cancer were randomly selected from May 2017 to May 2019 and treated in our hospital， they were treated as group A. And 68 patients with nodular goiter were treated as group B. All the selected patients were given ultrasound diagnosis， and the ultrasound diagnosis results of the two groups were observed and analyzed. Result： Compared with group B， the resistance index and peak systolic rate of group A were significantly higher （P<0.05）. There were significant differences between the two groups in lesion boundary manifestations， lesions form， degree of calcification， the echo of lesions （P<0.05）. Compared with group B， degree of blood flow richness of group A were significantly higher （P<0.05）. Conclusion： The accuracy of ultrasonic diagnosis is relatively high， which can provide more reliable and accurate diagnosis basis for the follow-up clinical treatment， and the clinical application value is very ideal.

[Key words] Thyroid micro papillary carcinoma Micro nodular goiter Ultrasound Differential value

First-authors address： Jiangsu Subei Peoples Hospital， Yangzhou 225001， China

甲状腺微小乳头状癌及微小结节性甲状腺肿均属于临床上较为多见的甲状腺病变，不过两种疾病的临床表征具备高度的相似性，故而极易發生误诊情形[1-3]。有效的鉴别诊断能够为患者的早期治疗提供可靠、准确的依据，同时能够有效延缓患者病情的进一步发展[4-5]。本次研究选取2017年5月-2019年5月于笔者所在医院进行诊治处理的甲状腺微小乳头状癌及微小结节性甲状腺肿患者各68例作为研究对象，着重探讨对甲状腺微小乳头状癌及微小结节性甲状腺肿患者应用超声诊断方式进行鉴别的临床价值，现报告如下。

1 资料与方法

1.1 一般资料

随机抽取2017年5月-2019年5月于笔者所在医院进行诊治处理的甲状腺微小乳头状癌患者68例，并将其作为A组，另选取同期的微小结节性甲状腺肿患者68例，将其视作B组。A组中男女例数之比为37∶31，年龄20～70岁，平……