四维彩超联合促甲状腺激素在诊疗甲状腺癌中的临床价值 促甲状腺刺激激素高

四维彩超联合促甲状腺激素在诊疗甲状腺癌中的临床价值 促甲状腺刺激激素高 摘要 目标 评价高频彩超联合促甲状腺激素在甲状腺癌诊疗中的价值，深入提升诊疗正确率，降低误、漏诊率。 方法 分析2021年1月2021年12月在我院就诊的甲状腺癌患者45例，将上述患者根据随机对照标准分为A组和B组，其中A组患者术前进行彩超诊疗，B组患者术前进行四维彩超联合促甲状腺激素诊疗，对两组患者的诊疗率进行比较。 结果 A组患者彩超诊疗甲状腺癌14例，未能确定良恶性6例，误诊为良性病变5例。B组患者四维彩超联合促甲状腺激素诊疗甲状腺癌18例，未能确定良恶性1例，误诊为良性病变1例。两组患者之间诊疗率比较，差异含有统计学意义。= 结论=关键词 四维彩超；促甲状腺激素；甲状腺癌；诊疗中图分类号 文件标识码 B 文章编号 1673-721007-0098-02Value of four-dimensional color Doppler ultrasound combined with thyroid stimulating hormonein diagnosis of thyroid cancerGAN Xiaohai ZENG XianmingDepartment of First Surgery, Qishi Hospital of Dongguan City, Guangdong Province, Dongguan 523500, ChinaAbstract Objective To evaluate high frequency ultrasonography combined with TSH in thyroid cancer diagnosis to further improve the accuracy of diagnosis, reduce error and the rate of missed diagnosis. Methods 45 cases patients with thyroid cancer from January 2021 to December 2021 in our hospital were analyzed. The patients according to the random and control principle divided into group A and group B . Group A were diagnosed by color Doppler ultrasound before operation, while group B were diagnosed by preoperative four-dimensional color Doppler ultrasound combined with TSH diagnosis. Then compared the diagnosis rate of two groups of patients. Results In the A group, patients with color Doppler ultrasound in diagnosis of thyroid carcinoma were 14 cases . Failing to identify benign and malignant were 6 cases . 5 cases were misdiagnosed as benign lesion . The patients in the B group four-dimensional color Doppler ultrasound combined with TSH in diagnosis of thyroid carcinoma were 18 cases . Failing to identify benign and malignant was 1 case . 1 case was misdiagnosed as benign lesion . There was statistical difference between two groups .= conclusion= thyroid= carcinoma= with= ultrasonography= has= certain= characteristics.= four-dimensional= color= doppler= ultrasound= combined= with= tsh= in= diagnosis= of= thyroid= cancer= has= important= clinical=Key words Four-dimensional color Doppler ultrasound; TSH; Thyroid Cancer; Diagniosis甲状腺癌是人体内分泌系统中最为常见的恶性肿瘤，占全身恶性肿瘤的1%5%1。多年来，甲状腺癌的术前检出率展现逐年提升的趋势2。本文分析我院2021年1月2021年12月收治的45例甲状腺癌患者的彩超及四维彩超联合促甲状腺激素表现，意在提升甲状腺癌的早期诊疗率，对指导临床手术和提升患者的预后生存含有主要意义。