摘   要：目的   評價彩色多普勒超聲診斷鑒別甲狀腺良惡性腫瘤的效果。方法  隨機(jī)選取2016年5月～2017年5月本院收治的甲狀腺腫瘤患者60例，所有患者均經(jīng)手術(shù)病理診斷確診，在此之前均實施彩色多普勒超聲診斷鑒別診斷，并與病理結(jié)果對比，分析彩色多普勒超聲診斷符合率、甲狀腺良惡性腫瘤血流分布情況、彩色多普勒超聲診斷敏感性度。結(jié)果  彩色多普勒超聲診斷發(fā)現(xiàn)，良性腫瘤37例（61.67%）、惡性腫瘤17例（28.33%）、結(jié)節(jié)性甲狀腺腫3例（5.00%），其與病理診斷結(jié)果相比，差異不具有統(tǒng)計學(xué)意義（P>0.05）;惡性腫瘤血流分布高于良性腫瘤血流分布，差異具有統(tǒng)計學(xué)意義（P<0.05）;彩色多普勒超聲診斷敏感度96.67%。結(jié)論  彩色多普勒超聲在鑒別診斷甲狀腺良惡性腫瘤中，診斷效果顯著，可為臨床診治提供有效顯著，臨床應(yīng)用價值較高，值得推廣應(yīng)用。
　　關(guān)鍵詞：彩色多普勒超聲;鑒別診斷;甲狀腺良惡性腫瘤
　　中圖分類號：R445.1;R736.1                       文獻(xiàn)標(biāo)識碼：A                                DOI：10.3969/j.issn.1006-1959.2018.05.059
　　文章編號：1006-1959（2018）05-0162-02
　　Evaluation of the Effect of Color Doppler Ultrasound in the Diagnosis and Differentiation of Benign and Malignant Thyroid Tumors
　　DU Li
　　（Department of Ultrasound，Third People"s Hospital，Benxi 117000，Liaoning，China）
　　Abstract：Objective  To evaluate the effect of color Doppler ultrasound in the diagnosis and differentiation of thyroid benign and malignant tumors.Methods  60 patients with thyroid neoplasms were randomly selected from May 2016 to May 2017，all of whom were confirmed by surgical and pathological diagnosis.Color Doppler ultrasound（CDFI）was used to diagnose the differential diagnosis before this， and compared with the pathological results，the diagnostic coincidence rate of CDFI，the blood flow distribution of thyroid benign and malignant tumors，and the sensitivity of CDFI were analyzed.Results  37 cases of benign tumors（61.67%），17 cases of malignant tumors（28.33%）and 3 cases of nodular goiter（5.00%）were diagnosed by color Doppler ultrasonography.Compared with pathological diagnosis，the difference was not statistically significant（P>0.05），the distribution of blood flow in malignant tumors was significantly higher than that in benign tumors，the difference was statistically significant（P<0.05），and the diagnostic sensitivity of color Doppler ultrasound was 96.67%.Conclusion  Color Doppler ultrasound is effective in the differential diagnosis of thyroid benign and malignant tumors，which can provide effective and effective diagnosis and treatment for thyroid benign and malignant tumors.It is worth popularizing.
　　Key words：Color Doppler ultrasound;Differential diagnosis;Thyroid benign and malignant tumor
　　甲狀腺腫瘤（thyroid neoplasm）是頭頸部常見的腫瘤，甲狀腺癌多數(shù)起源于濾泡上皮細(xì)胞，其發(fā)病與種族、性別、地區(qū)有一定的關(guān)系。甲狀腺位于人體頸部甲狀軟骨下方氣管兩側(cè)，形狀類似蝴蝶狀，分為左右兩葉與峽部，其有合成、分泌、貯存甲狀腺素的功能[1]。甲狀腺腫瘤主要臨床特征是頸前部腫塊，其發(fā)生、轉(zhuǎn)移與甲狀腺腫瘤血管的形成有密切關(guān)系，會嚴(yán)重影響患者的生命安全。因此，早發(fā)現(xiàn)、早診治至關(guān)重要。良惡性腫瘤臨床診斷中，通過彩色多普勒超聲可有效提高鑒別診斷效果，為臨床診治提供有效依據(jù)。本次研究基于以上背景，評價彩色多普勒超聲診斷鑒別甲狀腺良惡性腫瘤的效果，現(xiàn)將具體情況匯報如下。

相關(guān)熱詞搜索：多普勒 惡性腫瘤 甲狀腺 超聲 鑒別