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目的探讨超声诊断甲状腺肿瘤的临床分析。方法采用回顾性分析的方法,分析收治的甲状腺肿瘤患者的临床资料。结果甲状腺腺瘤超声诊断与手术病理诊断的符合率88.2%,甲状腺癌的诊断符合率66.7%。甲状腺腺瘤呈圆形或椭圆形,边界光滑,包膜完整,内呈低回声多见,囊性变时为无回声或混合回声。甲状腺癌边界不规整,界限不清,但癌瘤较小时边界可以整齐,肿瘤内部呈不均质低回声,常见有沙砾样钙化或簇样钙化。甲状腺腺瘤,甲状腺癌,PS,RI经分析比较,差异有统计学意义;ED经比较,差异无统计学意义。结论彩色超声作为诊断甲状腺肿瘤的一种手段,具有诊断符合率高、无创、简便的优点,值得临床推广应用。
Objective To investigate the clinical diagnosis of thyroid tumors by ultrasound. Methods The retrospective analysis method was used to analyze the clinical data of patients with thyroid tumors. Results The coincidence rate of ultrasonic diagnosis of thyroid adenoma and pathological diagnosis was 88.2%, and the diagnostic coincidence rate of thyroid carcinoma was 66.7%. Thyroid adenoma was round or oval, the border is smooth, complete capsule, showed low echo more common, cystic change without echo or mixed echo. Thyroid cancer with irregular boundaries, unclear boundaries, but the tumor can be neat when the smaller border, the tumor showed heterogeneous hypoechoic, common gravel-like calcification or cluster-like calcification. Thyroid adenoma, thyroid cancer, PS, RI after analysis and comparison, the difference was statistically significant; ED by comparison, the difference was not statistically significant. Conclusion As a means of diagnosing thyroid tumors, color ultrasound has the advantages of high coincidence rate, noninvasive and simple diagnosis, which is worthy of clinical application.