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目的探讨超声检查对甲状腺乳头状癌诊断的临床价值。方法对病理证实的42例甲状腺乳头状癌患者的超声图像表现进行回顾性分析。结果甲状腺乳头状癌超声表现以圆形或类圆形实性低回声为主,部分可见钙化,多数结节边界不清,无包膜,彩色血流信号显示率为76%(32/42)。42例甲状腺乳头状癌中,超声诊断恶性肿瘤的符合率为73.8%(31/42)。结论甲状腺乳头状癌声像图表现有其特征性,其边界不清,无包膜,低回声及微小钙化是诊断要点,超声检查有助于本病的临床诊断。
Objective To investigate the clinical value of ultrasonography in the diagnosis of papillary thyroid carcinoma. Methods The pathologic findings of 42 cases of thyroid papillary carcinoma were retrospectively analyzed. Results Ultrasound of papillary thyroid carcinoma showed round or round-like solid hypoechoic, partially calcified, unclear boundary of most nodules and no capsule, the rate of color flow signal was 76% (32/42) . In 42 cases of thyroid papillary carcinoma, the coincidence rate of ultrasound diagnosis of malignant tumor was 73.8% (31/42). Conclusion The papillary thyroid carcinoma has its own characteristics of acoustic imaging, the border is unclear, no capsule, hypoechoic and microcalcification are the main points of diagnosis, ultrasound can help the clinical diagnosis of the disease.