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目的:探究结节性甲状腺肿和甲状腺腺瘤的超声鉴别诊断结果与影像学特征。方法:回顾性分析我院随机选取均经手术或病理确诊的136例甲状腺病变患者超声影像学鉴别诊断过程。结果:如若出现周边有声晕、多发性结节、节周边组织回声粗而不均匀则多属于结节性甲状腺肿,反之多属于甲状腺腺瘤。此外,结节性甲状腺肿患者收缩期最高流速、舒张期最低流速、阻力指数等均低于甲状腺腺瘤患者,比较差异显著(P<0.05),具有统计学意义。结论:超声检查可为结节性甲状腺肿与甲状腺腺瘤的临床鉴别诊断提供更多依据,便于临床进一步正确的、积极的给予治疗,具有重要意义。
Objective: To explore the differential diagnosis results and imaging features of nodular goiter and thyroid adenoma. Methods: A retrospective analysis of our hospital randomly selected 136 cases of pathologically confirmed thyroid lesions in patients with differential diagnosis of ultrasound imaging. Results: If there is sound around the halo, multiple nodules, periarthritis tissue thick and uneven echo are mostly nodular goiter, and vice versa are mostly thyroid adenoma. In addition, patients with nodular goiter had the highest systolic velocity, lowest diastolic velocity and resistance index, which were significantly lower than those of thyroid adenoma (P <0.05). Conclusion: Ultrasonography can provide more evidences for the differential diagnosis of nodular goiter and thyroid adenoma, which is of great significance to facilitate further correct and positive clinical treatment.