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目的 分析彩超诊断甲状腺结节内钙化的临床意义。方法 对43例甲状腺结节内钙化患者进行彩超检查,检查内容包括甲状腺结节大小、数目、边界、内部回声(均匀)、钙化、肿块包膜、血流情况等。结果 43例患者经彩超诊断钙化率为88.3%,与病理诊断结果(100.00%)比较,差异无统计学意义(P>0.05);良性甲状腺结节患者钙化直径在2~5 mm(78.00%),恶性甲状腺结节患者钙化直径<2 mm(86.11%),两者比较,差异有统计学意义(P<0.05)。结论 甲状腺结节内钙化患者经彩色超声诊断与病理检查符合率较高,临床医师可根据彩超检查钙化灶大小判断其病变性质,尽早给予治疗计划提高预后和生存率。
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临床研究
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更新时间：2015-05-08
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彩超在诊断甲状腺结节内钙化中的临床意义
The diagnostic significance of calcification detected by Doppler ultrasound in 43 cases with thyroid nodule
微创医学 201501期 页码：50-52
作者机构：1 湖北省荆州市精神卫生中心特检科；2 湖北省荆州市第一人民医院生殖中心
基金信息：收稿日期：2014-10-18
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- 英文简介
- 参考文献
Objective To analyse the diagnostic significance of calcification detected by Doppler ultrasound in thyroid nodule. Methods 43 cases of calcified thyroid nodule revealed by Doppler ultrasound were analyzed. The thyroid nodule size,number,border,internal echo (uniform),calcification,tumor capsule,and blood flow were recorded. Results The calcification detect rate by Doppler ultrasound was 97. 81% ,comparable with pathological diagnosis (100. 00% ),(P > 0. 05). In those with benign thyroid nodule,the calcification diameter ranged between 2 - 5 mm (78. 00% ),while the malignant calcification diameter was smaller than 2 mm (86. 11% ),the difference was statistically significant (P < 0. 05). Conclusions The coincidence rate of Calcification detected by Doppler ultrasound for thyroid nodule and pathologic diagnosis is high. The calcifications size is useful for differential diagnosis and guidance treatment of thyroid nodule.
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