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1、超聲造影聯(lián)合常規(guī)超聲診斷甲狀腺微小乳頭癌的臨床診斷價值[摘耍]日的探究與分析超聲造影聯(lián)合常規(guī)超聲診斷甲狀腺微小乳頭癌的臨床效果。方法隨機選取并回顧性分析該院自2013年9月一2015年9月收治的80例甲狀腺微小乳頭狀癌患者的臨床資料，該組患者共162個結(jié)節(jié)，術(shù)前給予患者常規(guī)超聲及超聲造影檢查，并記錄了檢查結(jié)果，將術(shù)后病理切片并與術(shù)前檢查結(jié)果進行對比，對比與分析超聲造影特點與聲像圖表現(xiàn)。結(jié)果經(jīng)過術(shù)后病理學檢測，80例患者中行超聲造影聯(lián)合常規(guī)超聲術(shù)前診斷準確率為87.50%(70/80),其屮35例患者合并發(fā)生淋巴結(jié)轉(zhuǎn)移，轉(zhuǎn)移率為43.75%,經(jīng)過超聲檢測可見全部患者共有155個甲狀腺微小乳頭
2、狀癌結(jié)節(jié)。甲狀腺微小乳頭狀癌結(jié)節(jié)與正常甲狀腺組織相比始增時間顯著延長，峰值時間明顯縮短，差異有統(tǒng)計學意義(P<0.05)o結(jié)論采用超聲造影聯(lián)合常規(guī)超聲診斷甲狀腺微小乳頭狀癌的臨床效果較為顯著，具有較高的可行性，可同時對甲狀腺結(jié)節(jié)及周圍甲狀腺組織進行對比，可作為一種理想診斷方法應用于臨床工作中。[Abstract]ObjectiveToexploreandanalyzetheclinicaleffectofcontrast-enhancedultrasoundcombinedwithconvention且1ultrasoundinthediagnosisofpapillarythyroidm
3、icrocarcinoma?MethodsAretrospectiveanalysiswasconductedontheclinicaldataof80caseswithpapillarythyroidmicrocarcinoma(162nodules)admittedinourhospitaifromSeptember2013toSeptember2015.Beforesurgery,thepatientsunderwentthecontrast-enhancedultrasoundandconventionalultrasound.Andthetestresultswererecord
4、edandcomparedwiththepostoperativepathologicalresults.Themanifestationsofthecontrast-enhancedultrasoundandsonogramwerecomparedandanalyzed.ResultsTheresultsofpostoperativepathologicalexaminationshowedthat,theaccuracyofcontrast-enhancedultrasoundandconventionalultrasoundinthediagnosisofthe80caseswas8
5、7.50%(70/80)?35caseswerecomplicatedbylymphaticmetastasis,themetastaticratewas43.75%.Atotalof155nodulesofpapillarythyroidcarcinomawerefoundinallthepatientsbytheultrasonictest.Theinitiationtimeofenhancementwasmoreprolongedandthepeaktimewasmuchshorterinthenodulesofpapi1larythyroidcarcinomathanintheno
6、nrialthyroidtissuewithstatisticallysignificantdifference(P<0.05)?ConclusionContrast-enhancedultrasoundcombinedwithconventionalultrasoundhassignificantclinicaleffectinthetreatmentofpapillarythyroidmicrocarcinomawithhighfeasibilityandthisdiagnosiscancomparethethyroidnoduleandperipheralthyroidtissue,
7、soitcanbeusedasanidealdiagnosticmethodintheclinicalwork.[Keywords]Contrast-enhancedultrasound；Conventionalultrasound；Papillarythyroidmicrocarcinoma甲狀腺結(jié)節(jié)作為臨床上一類較為常見的內(nèi)分泌疾病，據(jù)調(diào)查研究資料顯示，通過高分辨率超聲檢查可見甲狀腺結(jié)節(jié)?—患率高達19%?67%,在
