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目的分析桥本甲状腺炎伴发甲状腺微小癌超声诊断的误漏诊因素。方法总结大庆油田总医院集团龙南医院2003-01-2009-11 26例术后病理证实为桥本甲状腺炎伴甲状腺微小癌超声误漏诊病例,在二维超声、彩色血流特点及超声引导穿刺方面分析超声误漏诊原因。结果 26例病例中误诊病例术后复发2例,漏诊病例复查后确诊伴颈部淋巴结转移1例,经随访23例存活,3例死于其他疾病。结论桥本甲状腺炎伴发甲状腺微小癌超声表现复杂,在结节数量、边界形态、病变部位、内部回声特点及超声引导穿刺活检方面均可影响诊断的准确性。
Objective To analyze the misdiagnosis factors in the diagnosis of Hashimoto’s thyroiditis with thyroid microcarcinoma. Methods Summarize Longnan Hospital of Daqing Oilfield General Hospital Group 2003-01-2009-11 Twenty-six cases of Hashimoto’s thyroiditis and thyroid microcarcinoma confirmed by postoperative pathology were diagnosed as ultrasonographic misdiagnosis cases. Two-dimensional ultrasonography, color flow characteristics and ultrasound guided puncture Analysis of ultrasonic missed diagnosis reasons. Results Of the 26 cases, 2 cases were misdiagnosed, 2 cases were diagnosed after missed diagnosis, 1 case had cervical lymph node metastasis, 23 cases were followed up and 3 died of other diseases. Conclusions Hashimoto’s thyroiditis with thyroid microcarcinoma has complicated ultrasound manifestations and may affect the accuracy of diagnosis in terms of the number of nodules, boundary morphology, lesion location, internal echo characteristics and ultrasound-guided biopsy.