摘要
目的评价超声在甲状腺囊实性病变鉴别诊断中的价值。方法回顾62个甲状腺囊实性病变的声像图,比较不同疾病超声表现的异同。结果甲状腺腺瘤(7/35个),结节性甲状腺肿(2/3个),亚急性甲状腺炎(4/5个),甲状腺乳头状腺癌(4/4个),甲状腺癌伴腺瘤(4/4个),甲状腺癌伴结节性甲状腺肿(9/9个)以实性回声为主,在良恶性的诊断中差异有统计学意义(P<0.01)。甲状腺癌及亚急性甲状腺炎的边缘不完整,实性区域为回声不均低回声区,但甲状腺癌多伴钙化;甲状腺腺瘤边界多完整,实性区域以中等回声为主;结节性甲状腺肿边缘不完整,实性区域回声强弱不均;甲状腺囊肿(2/2个)以囊性为主。结论二维超声对甲状腺囊实性病变具有重要价值,抓住每个囊性病变的重要特点,结合临床及实验室检查,就能及时作出正确判断。
Objective To evaluate the value of ultrasound in the differential diagnosis of cystic and solid lesion of thyroid. Methods The ultrasonographic findings and pathologic diagnosis of 62 cystic and solid lesion of thyroid were reviewed and the ultrasonographic characteristics of different diseases were compared. Results Thyroid adenoma （7/35）, nodular goiter （2/3）, subacute thyroiditis （4/5）, papillary adenoid cancer（4/4）, thyroid cancer with adenoma（4/4）, thyroid cancer with nodular goiter （9/9） are mainly described as solid mass. There was significant difference between benign nodules and malignant nodules（ P 〈 0.01 ） . The marges of the images of thyroid cancer and subacute thyroiditis were incomplete, appearing asymmetrical low echo area in the solid areas, but thyroid cancer was usually accompanied with change of calcification. The marges of thyroid adenoma were mostly complete, and it mainly appears medium echo areas. The marges of nodular goitre were almost clear with incomplete edges and uneven echoes in solid areas. The thyroid cyst（2/2） was mainly cystic. Conclusions The two dimensional ultrasound plays significant role to diagnose cystic and solid lesion of thyroid. When the features of each disease are in good command with clinical and lab examination, a timely correct diagnosis can be made.
出处
《中华全科医学》
2008年第7期747-749,F0003,共4页
Chinese Journal of General Practice
关键词
甲状腺肿瘤
超声诊断
Thyroid neoplasm
Ultrasound diagnosis
