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目的探讨桥本氏甲状腺炎(HT)合并结节患者的超声诊断情况。方法选取2011年1月至2016年1月于辽宁电力中心医院就诊的55例HT合并结节患者作为研究对象,所有患者均行常规超声及超声弹性成像检查。结果超声弹性成像技术诊断符合率与超声造影相比差异无统计学意义(P>0.05);超声造影联合超声弹性成像技术诊断,诊断结果与病理诊断符合率为100.0%(55/55);超声诊断恶性结节表现为结节形态不规则,边界不清晰,结节内部呈低回声,多伴微小钙化,纵横比>1。结论超声弹性成像技术联合超声造影诊断可有效鉴别HT合并结节的良恶性,临床诊断价值较高。
Objective To investigate the ultrasonic diagnosis of Hashimoto’s thyroiditis (HT) combined with nodules. Methods From January 2011 to January 2016, 55 patients with HT combined nodules who were treated in Liaoning Power Central Hospital were enrolled in this study. All patients underwent routine ultrasound and ultrasound elastography. Results The diagnostic accuracy of ultrasonic elastography was not significantly different from that of contrast-enhanced ultrasound (P> 0.05). The diagnostic accuracy of ultrasonic elastography combined with ultrasound elastography was 100.0% (55/55) The diagnosis of malignant nodules showed irregular nodules, the border is not clear, the nodules were hypoechoic, with many small calcifications, aspect ratio> 1. Conclusion Ultrasound elastography combined with contrast-enhanced ultrasound can effectively distinguish benign and malignant HT combined nodules, and its clinical value is high.