摘要
目的探讨介入性超声对甲状腺占位性病变良恶性诊断的价值。方法通过对212例常规超声提示甲状腺内有结节样病灶,但不能明确病灶良恶性的患者,在超声引导下对可疑病灶进行穿刺、活检,并将病理检查结果与超声检查资料进行对比析。结果①本组212例患者穿刺活检全部成功,成功率为100%,无一例出现明显并发症。②病理检查显示:212例患者中占位性病变57例,占26.89%;其中甲状腺癌15例,占7.08%,甲状腺腺瘤42例,占19.81%。③病理结果与超声检查对比:有7例患者病理提示为甲状腺腺瘤或甲状腺癌,常规超声检查未能提示,漏诊率3.3%;30例患者病理结果为结节性甲状腺肿,超声诊断为甲状腺占位性病变,误诊率14.15%。结论超声引导下自动活检技术,可以对病灶进行选择性穿刺引导,操作方便,安全可靠,并发症低,是早期诊断甲状腺占位性病变有效地方法,具有临床广泛应用价值。
Objective To discuss the diagnostic value of the interventional thyroid ultrasound for the space-occupying le- sions. Methods The thyroid puncture directed by ultrasound and biopsy was performed to 212 patients with thyroid suspicious space occupying diseases, the results between the pathologic examination and the outcome of uhrasonography were compared. Re- suits Pathologic results confirmed that 57 patients were with space occupying diseases,account for 26.89% ,among those there were 15 cases of thyroid cancer, account for 7.08% ;42 patients were with thyroid adenoma, account for 19.81%. Conclusion Thyroid puncture and biopsy guided by ultrasound is valuable in the diagnosis of the thyroid malignant space occupying diseases, it contribute diagnosis earlier so as to increase the cure rate of malignant diseases.
出处
《中华全科医学》
2012年第12期1949-1950,共2页
Chinese Journal of General Practice
关键词
介入性超声
甲状腺占位性病变
彩色多普勒
Interventional ultrasound
Space-occupying lesions of thyroid gland
Color Doppler
