Value of color doppler ultrasonography on antidiastole of thyroid adeno-ma and nodular goiter
- VernacularTitle:彩色多普勒超声在甲状腺腺瘤与结节性甲状腺肿鉴别诊断中的价值
- Author:
Xiaoru ZENG
1
;
Xingfang XUE
Author Information
1. 浙江省瑞安市人民医院 温州医科大学附属第三医院﹚超声科
- Keywords:
Color doppler ultrasonography;
Thyroid adenoma;
Nodular goiter
- From:
China Modern Doctor
2015;(2):107-109,112
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss value of color Doppler ultrasonography on antidiastole of thyroid adenoma and nodu-lar goiter. Methods A total of 80 cases of patients, who were given the medical treatment and pathologically diagnosed to have thyroid disease after operation in our hospital from June 2012 to June 2014 were selected, and were divided into antidiastole of thyroid adenoma group and nodular goiter group in accordance with pathologic results, with 40 cases of patients in each group. The patients in two groups were given color Doppler ultrasonography examination before medical treatment, and the size, shape, echo, relation with surrounding tissue and blood signal of thyroid diseases of pa-tients in two groups were observed, and the relation between index and disease were compared. Results The lesion of patients in antidiastole of thyroid adenoma group was mainly solitary, multiple occasionally, whose internal echo was mainly parenchymal, lesion edge and surrounding tissue had clear demarcation, and the envelope and acoustic halo was frequently seen, as well as the rich blood flow signals in surrounding and inner lesions. The lesion of patients in nodu-lar goiter group was mainly multiple, whose internal echo was mainly mixed, lesion edge and surrounding tissue had blurring demarcation, generally without envelope and acoustic halo. After comparing the lesion amount, internal echo, edge, envelope, acoustic halo and etc of patients in two groups, statistical differences appeared (χ2=8.72, 4.07,5.70,14.46,33.88,P<0.05 or P<0.01﹚. The patients in antidiastole of thyroid adenoma group [29 cases (72.5%﹚and 24 cases(60.0%﹚] had more rich cases of blood flow signals in surrounding and inner lesions than those in nodular goiter group[12 cases (30.0%﹚and 13 cases (32.5%﹚] (χ2=14.46、6.08,P<0.05 or P<0.01﹚. Conclusion Color Doppler ultrasonography plays an important value on the antidiastole of thyroid adenoma and nodular goiter, which provides sig-nificant basis for clinical diagnosis and treatment.
