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目的探讨结节性甲状腺肿合并甲状腺癌的超声声像图特征。方法回顾性分析经术后病理诊断为结节性甲状腺肿合并甲状腺癌的34例患者的甲状腺及颈部淋巴结声像图特征。结果34例患者中有26例(76.47%)声像图表现为结节形态不规则、边界模糊、内部砂粒样钙化、后方回声衰减,周围组织浸润,颈部淋巴结肿大等异常超声声像图表现中的一项或多项。结论结节性甲状腺肿合并甲状腺癌具有较为特征性的超声声像图表现,通过对结节性甲状腺肿患者甲状腺及颈部淋巴结超声声像图的详细分析,可以发现甲状腺内异常结节,对于指导此类患者的治疗具有重要的临床意义。
Objective To investigate the ultrasonographic features of nodular goiter complicated with thyroid cancer. Methods The thyroid and cervical lymph nodes were retrospectively analyzed in 34 patients with nodular goiter complicated with thyroid cancer. Results Twenty-six of 34 patients (76.47%) had sonographic abnormalities such as irregular nodules, blurred border, internal gritty calcification, attenuation of posterior echo, surrounding tissue infiltration, and cervical lymph node enlargement One or more of the performance. Conclusions Nodular goiter complicated with thyroid cancer has the characteristic ultrasonography. Through the detailed analysis of thyroid and cervical lymph nodes ultrasonography, the abnormal nodules in the thyroid gland can be found. For the patients with nodular goiter, Guiding the treatment of such patients has important clinical implications.