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目的分析研究超声诊断甲状腺占位性病变可行性。方法 80例甲状腺占位性病变患者作为研究对象,回顾性分析患者的临床基本资料以及术前超声检查的影像学资料,观察其声像学特征,并判断其各自的病理类型。追踪了解患者的最终诊断结果 ,将其作为依据,对超声诊断不同类型占位性病变的符合率进行计算。结果经超声诊断,共检出甲状腺炎16例(20.00%)、甲状腺腺瘤22例(27.50%)、甲亢34例(42.50%)及甲状腺癌8例(10.00%);经术后病理诊断,共检出甲状腺炎14例(17.50%)、甲状腺腺瘤20例(25.00%)、甲状腺功能亢进症(甲亢)37例(46.25%)及甲状腺癌9例(11.25%),诊断符合率分别为87.50%、90.91%、91.89%、88.89%。其中,良性病变的诊断符合率为98.61%,恶性病变的诊断符合率为89.89%。结论采用彩色多普勒超声对甲状腺占位性病变进行诊断具有操作简便、图像清晰、鉴别准确率高的特点,可以在甲状腺恶性病变的筛查中发挥重要作用,颇具临床应用价值。
Objective To analyze the feasibility of ultrasonic diagnosis of thyroid space-occupying lesions. Methods Eighty patients with thyroid gland lesions were studied retrospectively. The clinical data of patients and the imaging data of preoperative ultrasonography were retrospectively analyzed. The sonographic characteristics of the patients were observed and the pathological types of the thyroid gland were analyzed. Follow-up understanding of the patient’s final diagnosis, as a basis for the ultrasound diagnosis of different types of space-occupying lesions coincidence rate was calculated. Results Twenty-six cases (20.00%) of thyroiditis, 22 cases (27.50%) of thyroid adenoma, 34 cases (42.50%) of hyperthyroidism and 8 cases (10.00%) of thyroid cancer were diagnosed by ultrasonic diagnosis. Thyroiditis was detected in 14 cases (17.50%), thyroid adenoma in 20 cases (25.00%), thyroid hyperthyroidism (hyperthyroidism) in 37 cases (46.25%) and thyroid cancer in 9 cases (11.25%). The diagnostic coincidence rates were 87.50%, 90.91%, 91.89%, 88.89%. Among them, the diagnostic coincidence rate of benign lesions was 98.61%, the diagnostic coincidence rate of malignant lesions was 89.89%. Conclusion The diagnosis of thyroid thyroid lesions by color Doppler ultrasound has the advantages of simple operation, clear images and high accuracy of identification. It can play an important role in the screening of thyroid malignant lesions and has clinical value.