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目的通过对结节性甲状腺肿与甲状腺腺瘤的临床患者的超声声像图的对比分析,探讨超声诊断在结节性甲状腺肿与甲状腺腺瘤鉴别应用中的价值。方法采用超声技术对在我院2009年至2012年就诊的84例甲状腺患者的超声声像图特征进行对比分析。结果经诊断,两者甲状腺内均见结节,结节性甲状腺肿患者36例,甲状腺腺瘤患者48例,术前结节性甲状腺肿正确诊断者5例,占13.89%,误诊为甲状腺腺瘤者31例,占86.11%,甲状腺腺瘤正确诊断者46例,占95.83%,误诊为结节性甲状腺肿者2例,占4.17%。结论结节性甲状腺肿和甲状腺腺瘤在就诊时容易混淆,通过对两者的超声图像的特征分析,有助于在就诊时加强对两种疾病的诊断和鉴别。
Objective To compare the ultrasonographic images of patients with nodular goiter and thyroid adenoma to explore the value of ultrasonic diagnosis in the differential diagnosis of nodular goiter and thyroid adenoma. Methods Ultrasonography was used to compare the sonographic features of 84 patients with thyroid gland from 2009 to 2012 in our hospital. Results The diagnosis of nodules in both thyroid gland, 36 cases of nodular goiter, 48 cases of thyroid adenoma, the correct diagnosis of nodular goiter in 5 cases, accounting for 13.89%, misdiagnosed as thyroid gland Tumor in 31 cases, accounting for 86.11%, 46 cases of thyroid adenoma correct diagnosis, accounting for 95.83%, misdiagnosed as nodular goiter in 2 cases, accounting for 4.17%. Conclusions Nodular goiter and thyroid adenoma are easy to be confused at the time of diagnosis. By analyzing the characteristics of ultrasound images, it is helpful to diagnose and differentiate the two diseases at the time of diagnosis.