摘 要：目的 评价彩色多普勒超声诊断鉴别甲状腺良恶性肿瘤的效果。方法 随机选取2016年5月～2017年5月本院收治的甲状腺肿瘤患者60例，所有患者均经手术病理诊断确诊，在此之前均实施彩色多普勒超声诊断鉴别诊断，并与病理结果对比，分析彩色多普勒超声诊断符合率、甲状腺良恶性肿瘤血流分布情况、彩色多普勒超声诊断敏感性度。结果 彩色多普勒超声诊断发现，良性肿瘤37例（61.67%）、恶性肿瘤17例（28.33%）、结节性甲状腺肿3例（5.00%），其与病理诊断结果相比，差异不具有统计学意义（P>0.05）;恶性肿瘤血流分布高于良性肿瘤血流分布，差异具有统计学意义（P<0.05）;彩色多普勒超声诊断敏感度96.67%。结论 彩色多普勒超声在鉴别诊断甲状腺良恶性肿瘤中，诊断效果显著，可为临床诊治提供有效显著，临床应用价值较高，值得推广应用。
关键词：彩色多普勒超声;鉴别诊断;甲状腺良恶性肿瘤
中图分类号：R445.1;R736.1 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.05.059
文章编号：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
甲狀腺肿瘤（thyroid neoplasm）是头颈部常见的肿瘤，甲状腺癌多数起源于滤泡上皮细胞，其发病与种族、性别、地区有一定的关系。甲状腺位于人体颈部甲状软骨下方气管两侧，形状类似蝴蝶状，分为左右两叶与峡部，其有合成、分泌、贮存甲状腺素的功能[1]。甲状腺肿瘤主要临床特征是颈前部肿块，其发生、转移与甲状腺肿瘤血管的形成有密切关系，会严重影响患者的生命安全。因此，早发现、早诊治至关重要。良恶性肿瘤临床诊断中，通过彩色多普勒超声可有效提高鉴别诊断效果，为临床诊治提供有效依据。本次研究基于以上背景，评价彩色多普勒超声诊断鉴别甲状腺良恶性肿瘤的效果，现将具体情况汇报如下。