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目的分析桥本甲状腺癌的声像图特征,探讨超声在桥本甲状腺癌术前诊断中的应用价值。方法对82例术后有明确病理诊断的桥本甲状腺癌患者与术前进行的超声检查对比分析,总结桥本甲状腺癌的声像图特点。结果桥本甲状腺癌有如下特点:结节多呈低回声,无明显包膜,边缘不规整;多伴有砂砾样钙化;有的局部腺体回声明显减低,伴有弥漫性的砂砾样钙化。结论桥本甲状腺癌在超声图像上有其明显的特征性表现,通过超声检查多可以在术前做出明确的诊断,为临床诊治提供确切的信息。超声检查是此疾病术前诊断的首选。
Objective To analyze the echographic features of Hashimoto’s thyroid carcinoma and to explore the value of ultrasound in the preoperative diagnosis of Hashimoto’s thyroid carcinoma. Methods 82 cases of postoperative pathological diagnosis of Hashimoto’s thyroid cancer patients with preoperative ultrasound comparative analysis, summarize the characteristics of Hashimoto’s thyroid carcinoma sonographic. Results Hashimoto’s thyroid cancer has the following characteristics: nodules mostly hypoechoic, no obvious capsule, irregular edges; often accompanied by gravel-like calcification; some local gland echo was significantly reduced, accompanied by diffuse gravel-like calcification. Conclusions Hashimoto’s thyroid carcinoma has obvious characteristic manifestations on ultrasound images. Ultrasonography can make a definite diagnosis before operation and provide exact information for clinical diagnosis and treatment. Ultrasonography is the first choice for preoperative diagnosis of this disease.