高频超声诊断甲状腺结节246例分析

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。

High-frequency ultrasound analysis of 246 cases of thyroid nodules

Objective By analyzing the characteristics of ultrasound images of thyroid nodules and pathological comparative analysis of the results to improve ultrasound diagnostic accuracy rate of thyroid nodules.Methods 256 cases of high-frequency ultrasound probe on the preoperative examination,surgical and pathological examination of the thyroid nodules were retrospectively analyzed.Results Pathology confirmed 144 cases of nodular goiter,nodular goiter and 24 cases of nodular adenoma,thyroid adenoma in 52 cases,26 cases of thyroid cancer.Preoperative ultrasound diagnosis of 73 cases of nodular goiter,71 cases misdiagnosed as adenoma.Adenoma in 26 cases,26 cases of a nature to be nodules.Thyroid carcinoma,15 cases misdiagnosed as adenoma in 8 cases,3 cases of misdiagnosis.Conclusion The high-frequency ultrasound to determine the nature of thyroid nodules have a higher value,but easy to mistakenly missed,especially in the smaller thyroid microcarcinoma easily missed.