关于彩色多普勒超声诊断86例甲状腺结节内钙化的临床价值分析

朱国英

【摘 要】 目的：探讨彩色多普勒超声在检验诊断甲状腺结节内钙化中的应用价值。方法：选择本院体检科2018年1月至2018年12月接收的甲状腺结节内钙化患者计86例为研究对象，均采用彩色多普勒超声进行检验，分析其数目、大小、边界、内部回声、钙化、肿块包膜、血流情况等，将彩色多普勒超声诊断结果和病例诊断结果进行对比分析，并探讨钙化大小与良恶性之间的关系。结果：彩色多普勒超声诊断结果包括钙化85例，非钙化1例，与病理诊断对比差异无统计学意义（P>0.05）。该86例患者中包括良性51例，恶性35例，良性中钙化小于2mm计2例，2～5mm计40例，大于5mm计9例，恶性中钙化小于2mm计32例，2～5mm计3例，大于5mm计0例，P<0.05。结论：采用彩色多普勒超声诊断甲状腺结节内钙化与病理诊断符合率较高，恶性甲状腺结节钙化大小集中在小于2mm，良性甲状腺结节钙化大小集中在2～5mm，可结合彩色多普勒超声检验结果进行病变性质的初步判定，为后期诊疗工作的开展提供依据。

【關键词】 彩色多普勒超声;甲状腺结节;钙化;良性;恶性

Clinical Value of Color Doppler Ultrasound in Diagnosis of 86 Cases of Calcification in Thyroid Nodules

Zhu guoying

Dongming County People's Hospitalof Shandong Province，Heze， Shandong 274500

[Abstract] Objective：To explore the application value of color Doppler ultrasound in the examination and diagnosis of calcification in thyroid nodules. Methods： 86 patients with thyroid nodule calcification received from January 2018 to December 2018 in the physical examination department of our hospital were selected as the research objects.All patients were examined by color Doppler ultrasound，and their number，size，convenience，internal echo，calcification，tumor capsule and blood flow were analyzed.The diagnostic results of color Doppler ultrasound and cases were compared and analyzed，and the relationship between calcification size and benign and malignant was discussed. Results： Color Doppler ultrasound diagnosis results included 85 cases of calcification and 1 case of non-calcification，with no statisticallysignificant difference compared with pathological diagnosis（P>0.05）.Among the 86 patients，51 were benign，35 were malignant，2 were benign with calcification less than 2mm，40 were 2～5mm，9 were greater than 5mm，32 were malignant with calcification less than 2mm，3 were 2～5mm，and 0 were greater than 5mm，P<0.05. Conclusion： The diagnostic accuracy of color Doppler ultrasound for thyroid nodule calcification is higher than that of pathological diagnosis.The calcification size of malignant thyroid nodule is less than 2mm，and the calcification size of benign thyroid nodule is 2～5mm.It can be used to preliminarily determine the nature of the lesion in combination with the results of color Doppler ultrasound examination，which provides the basis for the later diagnosis and treatment.

[Key words]Color Doppler ultrasound; Thyroid nodule; Calcification; Benign; Malignant

甲状腺结节属于临床中的常见疾病，目前发病率呈现为逐年上升的趋势，虽然多数甲状腺结节为良性，但仍然存在不少恶性病变结节，为此及时进行甲状腺结节良性与恶性的判定是非常有必要的。彩色多普勒超声检验有着无创、便捷的优势，目前在甲状腺疾病的检验中已经得到了广泛的应用，能够有效实现对甲状腺结节结构、血流信号、钙化等的判定[1-2]。为验证彩色多普勒超声在诊断甲状腺结节内钙化中的应用价值，本次研究以本院体检科接收的86例甲状腺结节内钙化患者为研究对象，分析了经彩色多普勒超声检验结果与病理检验的符合率以及良性与恶性病变的钙化情况，现报道如下。

1 资料与方法

1.1 一般资料……