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目的通过分析甲状腺结节的超声图像与病理结果的对照分析,提高超声对甲状腺结节的诊断符合率。方法运用高频超声探头对246例术前检查,手术及病理证实的甲状腺结节进行回顾性分析。结果病理证实结节性甲状腺肿144例,结节性甲状腺肿并腺瘤结节24例,甲状腺腺瘤52例,甲状腺癌26例。术前超声诊断结节性甲状腺肿73例,误诊为腺瘤71例。腺瘤26例,结节性质待定26例。甲状腺癌15例,误诊为腺瘤8例,3例漏诊。结论高频超声对甲状腺结节的性质判断有较高的价值,但容易误漏诊,特别是较小的甲状腺微小癌易漏诊。
Objective To improve the diagnostic coincidence rate of thyroid nodules by analyzing the ultrasound image of thyroid nodules and the pathological results. Methods A retrospective analysis of 246 cases of thyroid nodules confirmed by surgery, histopathology and pathology was performed with a high frequency ultrasound probe. Results The pathology confirmed nodular goiter in 144 cases, nodular goiter and adenoma nodules in 24 cases, thyroid adenoma in 52 cases and thyroid carcinoma in 26 cases. Preoperative ultrasound diagnosis of nodular goiter in 73 cases, misdiagnosed as adenoma in 71 cases. 26 cases of adenoma, nodular nature of 26 cases to be determined. Thyroid cancer in 15 cases, misdiagnosed as adenoma in 8 cases, 3 cases of missed diagnosis. Conclusion High-frequency ultrasound has a high value in judging the nature of thyroid nodules, but it is easy to misdiagnosis, especially for small thyroid cancer.