| 王育红 黄云 张炎 刘刚 吴仕和.甲状腺结节数对钙化甲状腺病变良恶性的鉴别价值[J].,2015,15(11):2073-2075 |
| 甲状腺结节数对钙化甲状腺病变良恶性的鉴别价值 |
| Clinical Significance of Thyroid Nodule Quantity in Differentiating Benignand Malignant Thyroid Lesions with Calcification |
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| DOI： |
| 中文关键词: 甲状腺结节 钙化 良恶性 鉴别价值 |
| 英文关键词: Thyroid nodule Calcification Benign or malignant Differentiation |
| 基金项目:国家自然科学基金项目（30901795） |
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| 中文摘要: |
| 目的：通过甲状腺病变术前超声声像图与术后病理间的对照，分析结节单发或多发在鉴别伴钙化甲状腺病变良恶性中的意
义。方法：回顾性分析我院2010 年1 月至2013 年12 月收治的218 例甲状腺病变患者的临床资料，将患者术前超声声像图与术
后病理结果进行对比。结果：术前超声探及甲状腺单发结节伴钙化其术后病理恶性比例显著高于多发结节伴钙化，差异具有统计
学意义（P<0.05）；多发结节伴钙化其术后病理恶性比例显著高于多发结节不伴钙化，差异具有统计学意义（P<0.05）。结论：术前超
声探及甲状腺单发结节伴钙化其术后病理恶性比例较高，应积极手术治疗，多发结节伴钙化因其术后病理恶性病理较低，不宜作
为手术治疗甲状腺病变的绝对指征。 |
| 英文摘要: |
| Objective:To investigate the correlation between thyroid nodule quantity and benign or malignant thyroid lesions with
calcification by comparing preoperative ultrasonic image with postoperative pathology.Methods:The preoperative ultrasonic image and
postoperative pathological diagnosis of 218 patients with thyroid diseases who were diagnosed in our hospital fromJan 2010 to Dec 2013
were studied, analyzed and compared to provide a reference for the clinical diagnosis and treatment.Results:Postoperative pathological
diagnosis indicated that the malignant incidence of thyroid single nodule with calcification was higher than thyroid multiple nodules with
calcification (P<0.05), thyroid multiple nodules with calcification was higher than thyroid multiple nodules without calcification (P<0.
05).Conclusion:Thyroid single nodule with calcification examined by preoperative ultrasound has a higher incidence of postoperative
malignance, and should be treated with surgery; while thyroid multiple nodules with calcification have a relatively lower incidence of
postoperative malignance, and are not absolute indicators for surgical treatment. |
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