大理大学学报 ›› 2019, Vol. 4 ›› Issue (2): 79-.

• 临床医学 • 上一篇    下一篇

超声诊断甲状腺结节钙化与甲状腺癌相关性分析

何翠云,周宏伟,吴潇潇,张艳华,李娅萍   

  1. (玉溪市人民医院超声科,云南玉溪653100)
  • 收稿日期:2018-09-26 修回日期:2018-10-29 出版日期:2019-02-15 发布日期:2019-02-15
  • 作者简介:何翠云,主治医师,主要从事腹部、小器官超声诊断研究.

A Correlative Analysis of Ultrasound-detected Calcification in#br# Thyroid Nodules and Thyroid Cancer

He Cuiyun, Zhou Hongwei, Wu Xiaoxiao, Zhang Yanhua, Li Yaping   

  1. (Department of Ultrasonography, The People's Hospital of Yuxi, Yuxi, Yunnan 653100, China)
  • Received:2018-09-26 Revised:2018-10-29 Online:2019-02-15 Published:2019-02-15

摘要: [摘要]目的:探讨超声诊断甲状腺结节钙化与甲状腺癌的相关性。方法:回顾性分析玉溪市人民医院2010年1月至2017年
10月收治的229例患者甲状腺癌结节的超声声像图,对甲状腺结节内是否存在钙化以及钙化的特征分析并统一标准。结果:
恶性结节超声钙化灶的发生率为64.19%(147/229),无钙化灶的发生率为35.81%(82/229),组间比较差异有统计学意义(P<
0.05)。恶性结节钙化组中微钙化发生率为95.92%(141/147),显著高于粗钙化、环状钙化的发生率4.08%(6/147),组间比
较差异有统计学意义(P<0.05)。结论:甲状腺结节内微钙化对超声诊断甲状腺癌具有较高的临床诊断价值,其他粗大、环状
钙化也存在恶性病变的风险,必要时对可疑结节进行细针穿刺细胞学(FNA)检查,可提高诊断的准确性。

关键词: [关键词]超声诊断, 甲状腺结节钙化, 甲状腺癌, 相关性

Abstract: 〔Abstract〕Objective: To explore the correlation between ultrasound-detected calcification in thyroid nodules and thyroid cancer.
Methods: We conducted a retrospective review of ultrasonic images of thyroid nodules of 229 patients with thyroid cancer hospitalized
in the People's Hospital of Yuxi from Jan. 2010 to Oct. 2017, and applied the same criteria to evaluate whether there were ultrasound
calcifications in thyroid nodules and analyzed the features of calcification. Results: Ultrasound calcifications were detected in 147
(64.19%)of all cancerous nodules, while in 82 of the 229(35.81%)nodules no ultrasound calcifications were found. The differences
between the two groups of data were statistically significant(P<0.05). Among the patients with ultrasound calcifications the incidence
of micro- calcifications was 95.92%(141/147), which was clearly higher than the incidence of coarse calcifications and ring
calcifications of 4.08%(6/147). There was statistically significant difference(P<0.05). Conclusion: There is a great clinical value
in diagnosing thyroid cancer by detecting ultrasound micro-calcifications in thyroid nodules. But the risk of malignant nodules in
coarse calcifications and ring calcifications is still high. Thus, in order to promote accurate diagnosis, FNA should be performed on the
ultrasonographically suspicious nodules if necessary.

Key words: 〔Key words〕ultrasound diagnosis, calcification in thyroid nodules, thyroid cancer, correlation