摘要
目的:探讨超声鉴别诊断甲状腺弥漫性病变合并良恶性结节的声像图特点。方法:选择收治的70例甲状腺弥漫性病变合并甲状腺结节患者,术后病理检查或穿刺活检证实,对其超声资料进行回顾性分析,对良恶性结节的超声声像图特点进行对比分析。结果:70例患者共检出甲状腺结节74个,36个为良性结节,38个为恶性结节。在边界不清楚率、阻力指数≥0.7患者所占比例、Ⅲ级血流分布率、点状钙化灶发生率以及不均质回声率方面,恶性结节患者显著高于良性结节患者(P<0.05)。结论:通过超声检查能对甲状腺弥漫性病变合并良恶性结节进行鉴别诊断,而且操作简单方便、无创。
Objective：To analyze the ultrasonographic features of ultrasound in the differential diagnosis ofthyroid diffuse lesions with benign and malignant nodules.Methods：Seventy patients with thyroid diffuse lesions andthyroid nodules were treated. Postoperative pathological examination or biopsy confirmed that the ultrasound datawere retrospectively analyzed for benign and malignant nodules. Ultrasound sonographic features were comparedand analyzed. A total of 74 thyroid nodules were detected in all 70 patients, 36 were benign nodules and 38 weremalignant nodules. Patients with malignant nodules were significantly higher than those with benign nodules in termsof border unclear rate, resistance index≥ 0.7, proportion of grade III blood flow, incidence of punctuate calcification,and heterogeneous echo rate （P〈 0.05）. Conclusion： Ultrasonographic examination can differentiate the thyroiddiffuse lesions with benign and malignant nodules, and the operation is simple, convenient, and non-invasive.
作者
干露
GAN Lu(No.1 Affiliated Hospital of Anhui Medical University,Hefei 230022,Anhui)
出处
《安徽卫生职业技术学院学报》
2018年第5期26-27,29,共3页
Journal of Anhui Health Vocational & Technical College
关键词
超声
鉴别诊断
甲状腺弥漫性病变
良恶性结节
Ultrasound
Differential diagnosis
Thyroid diffuse lesions
Benign and malignant nodules
