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目的探讨超声鉴别甲状腺实性结节(本文指囊性成分<10%)良恶性的价值及意义。方法对2013年12月-2014年5月在平顶山市新华区人民医院进行手术及病理诊断的甲状腺实性结节患者40例的术前超声结果进行分析,总结超声各特征(大小、回声、形态、边界、纵横比、晕环、后方衰减、钙化、血流、阻力指数)鉴别甲状腺实性结节良恶性的价值。结果甲状腺实性结节在边界、形态、纵横比、晕环、后方衰减、微钙化(本文指钙化直径≤0.5mm)、血流、RI值等方面具有明显差异,良恶性结节的超声特征具有明显特异性。结论常规超声结合彩色多普勒能有效鉴别甲状腺实性结节的良恶性,对临床选择治疗和手术方案具有重要意义。
Objective To investigate the value and significance of using ultrasound to identify benign and malignant thyroid nodules (<10% cystic components in this paper). Methods Forty patients with thyroid solid nodules diagnosed surgically and pathologically in Xinhua District People’s Hospital of Pingdingshan from December 2013 to May 2014 were analyzed preoperatively and the characteristics of ultrasound (size, echo, morphology , Border, aspect ratio, halo, rear attenuation, calcification, blood flow, resistance index) to identify benign and malignant thyroid nodules. Results The thyroid solid nodules had obvious differences in the aspects of borderline, morphology, aspect ratio, halo, posterior attenuation, microcalcifications (calcified diameter≤0.5mm in this paper), blood flow and RI value. The ultrasound features of benign and malignant nodules Has obvious specificity. Conclusion Conventional ultrasound combined with color Doppler can effectively differentiate benign and malignant thyroid nodules and is of great significance for clinical treatment and surgical options.