摘要
目的通过分析甲状腺囊实性病变的声像图特征,探讨结节性甲状腺肿囊性变、甲状腺腺瘤囊性变、甲状腺乳头状癌囊性变超声鉴别诊断要点。方法对112例经手术及病理证实的甲状腺囊实性病变的声像图进行回顾性分析。结果甲状腺囊实性病变多见于甲状腺腺瘤、结节性甲状腺肿以及甲状腺乳头状癌的囊性变,三者的声像图有一定差异。甲状腺腺瘤的包膜、边缘晕环以及环状血流;结节性甲状腺肿病变一般为多发结节,周围组织回声异常,结节内血流缺乏;甲状腺癌的低回声、后方回声衰减及内部砂粒样钙化在诊断中有较高的特异性。结论彩超对甲状腺囊实性病变的诊断及鉴别诊断具有重要临床价值。
Objective To explore differential diagnosis essence of ultrasound for cystic lesion of nodular goiter,cystic lesion of thyroid adenoma,and cystic lesion of papillary adenoid cancer through analyzing ultrasonograph characteristics of cystic and solid lesion of thyroid.Methods The ultrasonograph of 112 cases of cystic and solid lesion of thyroid were reviewed,which were proved through surgery and pathology.Results Cystic and solid lesion of thyroid often appears at thyroid adenoma,nodular goister,and papillary adenoid cancer.There were certain differences between their ultrasonograph.There was significant specialty for thyroid adenoma envelope,margin halo,and ring blood stream;Nodular goiter,abnormal echo around,and shortage of blood inside nodular;Low echo of adenoid cancer,back echo attenuation,and inside grit calcification.Conclusion There is important clinical value of color Doppler in diagnosis and differential diagnosis on cystic and solid lesion of thyroid.
出处
《临床医学》
CAS
2010年第10期22-23,共2页
Clinical Medicine
