摘要
目的探讨超声影像学检查对甲状腺腺瘤与结节性甲状腺肿诊断及鉴别诊断的价值。方法回顾性分析经手术处理及病理证实的66例甲状腺病变患者的超声表现,对2组疾病的彩色多普勒血流显像图像特点进行比较分析。结果甲状腺腺瘤多表现为甲状腺局限性肿大,瘤体多单发,多呈椭圆形,包膜完整,边界清楚,瘤体多为混合性回声,周边常见晕环;而结节性甲状腺肿表现为甲状腺不同程度肿大,呈多发性,形态饱满,边界欠清,周边无晕环,可有钙化灶、囊性变等,2组之间差异具有统计学意义(χ2=24.09、10.13、24.41、24.87,P<0.05);结节性甲状腺肿的内部及周边血流的速度和阻力指数比甲状腺腺瘤均显著较低,差异有统计学意义(t=5.234、7.050、10.86、2.960,P<0.05)。结论甲状腺腺瘤超声影像学主要表现为单发、有晕环、结节周围甲状腺组织回声正常,而结节性甲状腺肿反之。
Objective The purpose of this study was to assess the potential application of color Doppler sonography in thyroid adenoma and nodular goiter imaging, in order to evaluate the clinical value of color Doppler ultrasonic diagnosis on thyroid adenoma and nodular goiter. Methods The ultrasonic manifestation of 35 nodular goiter and 31 thyroid adenoma were reviewed and compared with pathology findings. Results Performance of thyroid adenoma was limitations of enlargement, tumor single, mostly oval, encapsulated, clear boundary, tumor mostly mixed echogenicity and halo surrounding common ;The nodular goiter showed varying degrees of thyroid enlargement, multiple, full shape, boundary less clear, no halo around,may have calcification,cystic degeneration,the difference between the two groups were statistically significant（ X2 = 24.09,10.13,24.41,24.87 ,P 〈 0.05 ） ;the blood flow velocity and resistance index of internal and peripheral in nodular goiter were significantly lower than those of thyroid adenoma, the difference was statistically significant（ t = 5. 234,7. 050,10.86,2. 960 ,P 〈0.05 ）. Conclusion The color Doppler ultrasound had significant clinic value in the differential diagnosis of thyroid adenoma and nodular goiter.
出处
《中华全科医学》
2014年第3期436-437,F0003,共3页
Chinese Journal of General Practice
