述评(Commentary)

甲状腺癌的超声管理——外科医生的基本功

Published at: 2017年第26卷第5期

马云海 1 , 程若川 1
1 昆明医科大学第一附属医院 甲状腺疾病诊治中心,云南 昆明 650031
通讯作者 若川 程 Email: cruochuan@foxmail.com
DOI: 10.3978/j.issn.1005-6947.10.3978/j.issn.1005-6947.2017.05.003
基金:

摘要

高分辨率B超在甲状腺癌诊断方面的敏感性高、特异性强的特点使其成为甲状腺可疑结节定性、定量、定位诊断的首选检查方法。专业、准确的超声诊断水平是实现甲状腺癌诊疗的规范化、个体化、精准化的前提。外科医师不仅在超声诊断的学习中拥有绝对的优势,而且能紧密结合临床,扩展超声的临床应用价值。外科医师可通过进行超声检查完善甲状腺癌术前分期和风险分层,制定个体化治疗方案,同时提升自我的专业水平,保证术后随访工作及时、方便、有效,进而提高患者的依从性。随着超声科技、分子诊断水平、人工智能技术的不断发展,未来超声仪的便携与手机化进步必将推动传统甲状腺外科向精准化甲状腺外科转型。


Ultrasound management of thyroid cancer––basic clinical skill of surgeons

Abstract

High-resolution ultrasound has become the first line imaging modality to determine the nature, size and location of suspicious thyroid nodules due to high sensitivity and excellent specificity. A professional and accurate ultrasound examination is the premise for realizing standardized, individualized and precise diagnosis and treatment of thyroid cancer. Surgeons not only have the superiority in learning ultrasound examination skills, but also can expand its clinical application value based on their clinical experience. Through performing ultrasound examination, surgeons could make better preoperative staging and risk stratification of the thyroid cancer, and more individualized treatment plan, and meanwhile, could also enhance their professional skills, and provide timely, convenient and effective postoperative follow-up, and thereby improve patients’ compliance. With the development of ultrasonics, molecular diagnostic techniques and artificial intelligence technologies, the portable ultrasound machine and mobilation advancements in the future will accelerate transition of traditional thyroid surgery towards precise thyroid surgery.


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引用

引用本文: 云海 马, 若川 程. 甲状腺癌的超声管理——外科医生的基本功 [J]. 中国普通外科杂志, 2017, 26(5): 551-555.
Cite this article as: MA Yunhai, CHENG Ruochuan . Ultrasound management of thyroid cancer––basic clinical skill of surgeons [J]. Chin J Gen Surg, 2017, 26(5): 551-555.