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目的了解B型超声(B超)在甲状腺肿块鉴别诊断中的作用。方法选取2015年1月-2016年1月该院收治的甲状腺肿块患者164例,比较B超诊断和病理诊断结果。结果 164例甲状腺肿块患者的B超诊断和病理诊断结果中,单发性肿块占51.2%(84/164)、多发性肿块占48.8%(80/164)。在甲状腺腺瘤、甲状腺腺肿诊断中,B超与病理诊断率存在显著差异(P<0.05)。在甲状腺癌、结节性甲状腺癌诊断中,B超与病理诊断率差异无统计学意义(P>0.05)。结论 B超对恶性甲状腺肿块的鉴别准确性较高,但对良性甲状腺肿块的鉴别准确性较差。临床医师不能将B超诊断作为临床诊断的唯一依据,应结合病理检查进行综合判断。
Objective To understand the role of B ultrasound in the differential diagnosis of thyroid mass. Methods A total of 164 patients with thyroid mass admitted to our hospital from January 2015 to January 2016 were enrolled in this study. The diagnostic and pathological findings of B-ultrasound were compared. Results Among the 164 cases of thyroid mass, the diagnosis of ultrasonography and pathological diagnosis were 51.2% (84/164) for single mass and 48.8% (80/164) for multiple mass. In the diagnosis of thyroid adenoma and thyroid gland, there was a significant difference between the diagnosis of thyroid adenoma and the pathological diagnosis (P <0.05). In the diagnosis of thyroid cancer and nodular thyroid cancer, there was no significant difference between the diagnosis of thyroid cancer and the pathological diagnosis (P> 0.05). Conclusion The accuracy of B-ultrasound in the diagnosis of malignant thyroid mass is high, but the accuracy of the diagnosis of benign thyroid mass is poor. Clinicians can not diagnose B-ultrasound as the only basis for clinical diagnosis should be combined with pathological examination to determine.