论文部分内容阅读
目的:对于桥本甲状腺炎合并结节病变采用超声诊断的临床效果以及误诊情况做出分析。方法:回顾性分析2012年3月~2013年3月我院接受并诊治的60例桥本甲状腺炎合并结节病变的病人采用超声诊断的形式进行确诊,计算超声诊断的准确率。结果:在60例桥本甲状腺炎合并结节病变的患者中,患者的甲状腺增加较为明显,使用超声诊断的结果显示:有79.8%的患者出现峡部,明显增厚的情况,78.6%的患者的实质回声弥漫以及局限性逐渐降低,且不均匀,另外有11.8%的患者有合并结节样病变。使用超声诊断的符合率大约为50.5%。误诊率为49.5%,60例患者中,有20例被误诊为结节性甲状腺,有4例被误诊为腺瘤。结论:对于桥本甲状腺炎合并结节样病变仅使用超声诊断的形式进行诊断,容易出现误诊及漏诊,因此应该进行全面的检查,在对患者的病情进行判断。
OBJECTIVE: To analyze the clinical effect and misdiagnosis status of Hashimoto’s thyroiditis combined with nodular lesions by ultrasonic diagnosis. Methods: A retrospective analysis of 60 patients with Hashimoto’s thyroiditis complicated with nodular lesions admitted to our hospital from March 2012 to March 2013 was diagnosed by ultrasonic diagnosis, and the accuracy of ultrasonic diagnosis was calculated. RESULTS: Thyroid enlargement was more pronounced in 60 patients with Hashimoto’s thyroiditis complicated with sarcoidosis. The results of ultrasound diagnosis showed that there were 79.8% of patients with isthmus and thickening, 78.6% of patients had Substantial echo diffuse and the limitations gradually reduced, and uneven, in addition to 11.8% of patients with nodular lesions. The coincidence rate with ultrasound diagnosis was about 50.5%. The misdiagnosis rate was 49.5%. Of the 60 patients, 20 were misdiagnosed as nodular thyroid and 4 were misdiagnosed as adenomas. Conclusion: Hashimoto’s thyroiditis complicated with nodular lesions only diagnosed by ultrasound diagnosis, prone to misdiagnosis and missed diagnosis, it should conduct a comprehensive examination of the patient’s condition to judge.