文章摘要
李保启,王金萍,肖蕾,等.高频彩色多普勒超声对甲状腺乳头状癌的诊断价值[J].安徽医药,2020,24(3):541-543.
高频彩色多普勒超声对甲状腺乳头状癌的诊断价值
Diagnostic value of high frequency color doppler ultrasound in thyroid papillary carcinoma
  
DOI:10.3969/j.issn.1009?6469.2020.03.030
中文关键词: 甲状腺肿瘤  超声检查,多普勒,彩色  钙质沉着症  癌症早期检测
英文关键词: Thyroid neoplasms  Ultrasonography,doppler,color  Calcinosis  Early detection of cancer
基金项目:
作者单位
李保启 安徽中医药大学第一附属医院超声医学科安徽合肥 230031 
王金萍 安徽中医药大学第一附属医院超声医学科安徽合肥 230031 
肖蕾 安徽中医药大学第一附属医院超声医学科安徽合肥 230031 
周维风 安徽中医药大学第一附属医院超声医学科安徽合肥 230031 
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中文摘要:
      目的探讨高频彩色多普勒超声对甲状腺乳头状癌( PTC)的鉴别诊断价值。方法回顾性分析 2016年 5月至 2018年 10月期间安徽中医药大学第一附属医院经手术病理证实的 33例 PTC及 40例甲状腺良性结节的高频彩色多普勒超声声像图表现,记录结节是否为低回声、纵横比是否 ≥1、内部回声是否均匀、有无微钙化、边界是否规则、境界是否清晰、血流是否丰富,并对上述超声征象作统计学处理,寻找诊断 PTC的较敏感征象。结果通过 χ2检验进行单因素分析发现:低回声、纵横比、钙化、边缘不规则均是影响 PTC诊断的因素( χ2=19.513、23.631、39.603、18.583,均 P<0.001)。通过 logistic回归进行多因素分微
英文摘要:
      Objective To investigate the diagnostic value of high frequency color Doppler ultrasound in papillary thyroid carcinoma(PTC).Methods The ultrasonographic features of 33 cases of PTC and 40 cases of benign thyroid nodules confirmed by operationand pathology in The First Affiliated Hospital of Anhui Traditional Chinese Medical University from May 2016 to October 2018were retrospectively analyzed.The following ultrasonographic signs were recorded and processed statistically to identify sensitivesigns of PTC:whether the nodules were hypoechoic,whether the aspect ratio was ≥1,whether the internal echo was uniform,wheth? er there was microcalcification,whether the boundary was regular,whether the boundary was clear and whether the blood flow was rich .Results The single factor analysis by χ2 test showed that low echo,taller than wide shape,microcalcification and irregular margin were all factors influencing the diagnosis of PTC(χ2=19.513,23.631,39.603 and 18.583,respectively,all P<0.001).Logis? tic regression analysis showed that low echo(OR=22.363,95%CI:1.914?258.991),taller than wide shape(OR=11.358,95%CI:
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