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目的:比较结节性甲状腺肿与甲状腺腺瘤的声像图特征。方法:用彩色多普勒超声对经病理证实的结节性甲状腺肿41例,甲状腺腺瘤30例,结节性甲状腺肿合并甲状腺腺瘤5例进行分析,比较其声像图特点。结果:结节性甲状腺肿41例,诊断符合率89.1%(41/46)。甲状腺腺瘤30例,诊断符合率90.9%(30/33)。结节性甲状腺肿合并甲状腺腺瘤5例,诊断符合率62.5%(5/8)。结节性甲状腺肿与甲状腺腺瘤在大小、形态、边界、内部回声及内部血流之间差异有显著性。结论:彩色多普勒超声对结节性甲状腺肿与甲状腺腺瘤能作出明确的诊断及鉴别诊断,对临床治疗方法的选择有较高的指导意义。
Objective: To compare the sonographic features of nodular goiter and thyroid adenoma. Methods: Totally 41 cases of pathologically confirmed nodular goiter, 30 cases of thyroid adenoma and 5 cases of nodular goiter with thyroid adenoma were analyzed by color Doppler sonography. The sonographic features were compared. Results: There were 41 cases of nodular goiter. The diagnostic coincidence rate was 89.1% (41/46). Thyroid adenoma in 30 cases, the diagnostic coincidence rate of 90.9% (30/33). Nodular goiter with thyroid adenoma in 5 cases, the diagnostic coincidence rate of 62.5% (5/8). Nodular goiter and thyroid adenoma in the size, shape, border, internal echo and internal blood flow differences were significant. CONCLUSION: Color Doppler ultrasound can make a definite diagnosis and differential diagnosis of nodular goiter and thyroid adenoma, which is of great guiding significance for the choice of clinical treatment.