桥本氏甲状腺炎合并甲状腺乳头状微小癌患者的超声特点与临床参数的相关性分析

doi:10.7517/issn.1674-0475.191105

摘要/Abstract

摘要： 本文探讨了桥本氏甲状腺炎合并甲状腺乳头状微小癌患者的超声特点与临床参数的相关性。选择2010年1月~2018年12月我院收治的桥本氏甲状腺炎合并甲状腺乳头状微小癌患者75例作为研究组，单纯桥本甲状腺炎患者696例作为对照组，分析了两组患者的临床病理特征、二维超声图像特征及内部血流图像特征。结果显示，两组平均年龄、肿块直径、病灶数量、甲状腺结构、形态、晕圈比较无统计学差异（P>0.05）；研究组的性别构成、病灶钙化情况、内部回声情况、内部血流情况与对照组有统计学差异（P<0.05）。多因素Logistic回归分析显示，女性、微钙化、边缘回声不清晰、内部极低回声、内部无血流是桥本氏甲状腺炎合并甲状腺乳头状微小癌的危险因素（P<0.05）。说明超声能够对桥本氏甲状腺炎合并甲状腺乳头状微小癌进行有效诊断。

关键词: 桥本氏甲状腺炎, 甲状腺乳头状微小癌, 超声, 特点

Abstract: In this article, the correlation between ultrasonographic features and clinical parameters in Hashimoto's thyroiditis complicated with thyroid micropapillary carcinoma patients were investigated. 75 cases of patients with Hashimoto's thyroiditis complicated with thyroid micropapillary carcinoma were selected as study group, while 696 cases of patients with Hashimoto's thyroiditis were treated as control group from January 2010 to December 2018. The clinical and pathological features, two-dimensional ultrasound image characteristics and the internal image characteristics of blood flow in the two groups were analyzed. As the result, there was no significant difference in the average tumor diameter, number of lesions, thyroid structure, shape and halo between the two groups (P>0.05). And there were significant differences in the gender composition, calcification, internal echo and internal blood flow between the two groups (P<0.05). Multivariate Logistic regression analysis showed that female, microcalcification, unclear marginal echo, very low internal echo, no internal blood flow were risk factors for Hashimoto's thyroiditis with thyroid micropapillary carcinoma (P<0.05). In conclusion, ultrasound can efficiently diagnose Hashimoto's thyroiditis with thyroid micropapillary carcinoma.

Key words: Hashimoto's thyroiditis, thyroid micropapillary carcinoma, ultrasonography, characteristics

谭志巍, 陈仕高. 桥本氏甲状腺炎合并甲状腺乳头状微小癌患者的超声特点与临床参数的相关性分析[J]. 影像科学与光化学, 2020, 38(3): 470-475.

TAN Zhiwei, CHEN Shigao. Analysis of Correlation Between Ultrasonographic Features and Clinical Parameters in Hashimoto's Thyroiditis Complicated with Thyroid Micropapillary Carcinoma Patients[J]. Imaging Science and Photochemistry, 2020, 38(3): 470-475.

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