| 张渊,江泉,赵玉华,陈剑,张云霄.超声造影增强模式诊断甲状腺单发结节[J].中国医学影像技术,2010,26(11):2057~2059 |
| 超声造影增强模式诊断甲状腺单发结节 |
| Contrast-enhanced ultrasound in diagnosis of solitary thyroid nodule |
| 投稿时间：2010-06-19 修订日期：2010-07-03 |
| DOI： |
| 中文关键词: 甲状腺结节 超声检查,多普勒,彩色 增强模式 |
| 英文关键词:Thyroid nodule Ultrasonography, Doppler, color Enhancement pattern |
| 基金项目:上海市浦东新区卫生系统重点学科建设基金(PWZXK2007-02)、上海市级医院适宜技术联合开发推广应用项目(SHDC12010221)。 |
|
| 摘要点击次数: 2204 |
| 全文下载次数: 766 |
| 中文摘要: |
| 目的 探讨实时超声造影增强模式对良、恶性甲状腺单发结节的鉴别诊断价值。 方法 78例甲状腺单发结节患者(恶性37例、良性41例)均接受超声造影检查,观察造影增强模式,并从以下6方面进行评价:①增强程度;②增强方式;③是否均匀增强;④是否完全增强;⑤增强时病灶边界是否清晰;⑥增强时病灶形态是否规则。 结果 除增强方式外,甲状腺良、恶性结节的其他增强模式差异均有统计学意义(P均＜0.05)。恶性病灶增强时形态多不规则(94.59%),边界不清(86.49%),无明显增强(78.38%),恶性病灶中不均匀增强、不完全增强的病灶占多数,分别为78.38%和70.27%。 结论 甲状腺良、恶性结节超声造影增强模式存在显著差异,具有重要的临床意义。 |
| 英文摘要: |
| Objective To study the enhanced patterns of solitary thyroid nodule with real-time contrast-enhanced ultrasound and assess its value in differentiating between malignant and benign thyroid nodules. Methods Seventy-eight patients with solitary thyroid nodule (37 malignant, 41 benign) underwent real-time contrast-enhanced ultrasound. The patterns of their enhancement were assessed from six aspects: Degree of enhancement, process of enhancement, homogeneity of enhancement, completeness of enhancement, boundary of the enhanced lesions, shape of the enhanced lesions. Results Contrast-enhanced patterns were significantly different between benign and malignant thyroid nodules (all P<0.05), except for process of enhancement. The shape of most malignant lesions was irregular (94.59%), the boundary was unclear (86.49%) and had no significantly enhanced (78.38%). Most malignant lesions were inhomogeneously (78.38%) and incompletely enhanced (70.27%). Conclusion The patterns of real-time contrast-enhanced ultrasonography are significantly different between benign and malignant thyroid nodules, and have important clinical value. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
|
|
|
