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目的分析研究甲状腺微小癌的临床超声诊断及病理初探。方法分析研究56例甲状腺微小癌患者的临床超声及病理诊断特点。结果病理检查可见标本切面基本显示为灰白色,一些灰白色显示为放射状瘢痕样,部分脆且无包膜,经超声检查可见甲状腺微小癌肿块均为实性,形状主要为圆形,无包膜且边缘不规则,一些可见细小毛刺。部分肿块内有簇收分布的细小光点。在彩色多普勒超声(CDFI)检查显示下可见病灶可有彩色血流信号,且动脉频谱阻力指数较高。结论结合采用超声诊断以及临床病理特点,可显著提高甲状腺微小癌的的诊断准确率,为之后的临床治疗提供可参考的依据。
Objective To analyze the clinical ultrasound diagnosis and pathology of thyroid microcarcinoma. Methods The characteristics of clinical ultrasonography and pathological diagnosis of 56 cases of thyroid microcarcinoma were analyzed. Results Pathological examination showed that the section of the specimen was basically grayish white, some grayish white showed radial scarring, some were brittle and had no capsule. The ultrasonographic examination showed that the thyroid microcarcinomas are all solid, the shape is mainly round, and there is no envelope and edge Irregular, with some small burrs visible. Some of the masses contained tiny spots of light in clusters. The color Doppler ultrasound (CDFI) examination shows that the lesion can have color flow signals, and the index of arterial spectral resistance is higher. Conclusion The combination of ultrasound diagnosis and clinicopathological features can significantly improve the diagnostic accuracy of thyroid microcarcinoma and provide a reference for subsequent clinical treatment.