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桥本甲状腺炎伴良恶性质结节的腺体超声图像特征

The Gland Ultrasonographic Characteristics of Hashimoto’s Thyroiditis Concomitant with Benign and Malignant Thyroid Nodules
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摘要 目的:探讨桥本甲状腺炎(HT)伴良恶性质结节的腺体超声图像特征。方法:回顾性分析2019年2月~2021年2月朝阳市中心医院收治的160例HT伴结节行手术患者的临床资料,根据结节的良恶性分为良性结节组(80例)与恶性结节组(80例),比较两组的甲状腺大小与腺体回声。结果:良性结节组的甲状腺双侧叶左右径、前后径及峡部厚度均高于恶性结节组,差异有统计学意义(P<0.05)。良性结节组的腺体斑片状回声减低型例数高于恶性结节组,差异有统计学意义(P<0.05)。恶性结节组的腺体网格样回声改变型例数高于良性结节组,差异有统计学意义(P<0.05)。结论:甲状腺内径小、腺体回声呈网格样改变更易伴发恶性结节。 Objective:To discuss the gland ultrasonographic characteristics of Hashimoto’s thyroiditis(HT)concomitant with benign and malignant thyroid nodules.Methods:A total of 160 patients who had HT concomitant with thyroid nodules and underwent thyroidectomy at Chaoyang Center Hospital between Feuruary 2019 and Feuruary 2021 were retrospectively included.The patients were divided into HT with benign nodules(n=80)and HT with malignant nodules(n=80),to compared the size of the thyroid gland and echo type in the two groups.Results:The transverse diameter,anteroposterior diameter,longitudinal diameter,and isthmus thickness of bilateral lobes of thyroid gland in patients with benign nodules were highter than those in patients with transverse diameter,there was significantly(P<0.05).The number of patchy hypoechoic changes of thyroid gland in the benign nodules group were highter than those in the malignant nodules group,and there was significantly(P<0.05).The number of patients with grid like changes in the malignant group were highter than those in the benign nodules group,and there was significantly(P<0.05).Conclusion:A smaller size of the thyroid gland and grid like changes of the gland are likely concomitant with malignant thyroid nodules.
作者 张明 ZHANG Ming(Department of Ultrasound,Chaoyang Center Hospital,Liaoning Province,Liaoning Chaoyang 122000)
出处 《中国医疗器械信息》 2023年第17期114-116,共3页 China Medical Device Information
关键词 桥本甲状腺炎 结节 腺体 超声图像 特征 Hashimoto’s thyroiditis nodule gland ultrasonic image characteristics
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