甲状腺结节的声像图与临床和病理对照

本文报告了２９４例甲状腺结节的声像图表现，并与临床和病理作对照。发现经临床检出的病例中有１／３（３４．９％）在结节数量方面与超声、手术结果不符。超声对甲状腺结节的定位与大小估计的可靠性明显优于其它检查方法。甲状腺结节的多源性与合并存在的可能性，构成声像图的复杂性，诊断时应提高警惕，以免顾此失彼。一般恶性结节的诊断，声像图上尚无特异的征象，作者提出七项有意义的表现，供综合分析恶性倾向的可能。

Thyroid Nodules : Sonography Versus Clinical and Pathological Practices

This series consist of 294 cases of thyroid nodules. Ultrasonographic clinical and pathological examinations were compared. There were missed on clinical palpation in one third (34. 9%). US examination is extraordinarily reliable both in detection of thyroid nodules and in assessment of its size. Sonographic features of the thyroid nodules are complex because of its different developmental causes, different size and nature. Differentiation of malignant from benign lesion is still difficult by US. We suggest seven signs may predict malignancy, even if five involved.