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目的:探讨超声影像学误漏诊甲状腺疾病声像图的原因。方法:分析22例被超声漏诊和误诊的病例。结果:误诊的15例患者中,甲状腺癌5例,结节性甲状腺肿4例,甲状腺腺瘤5例,桥本氏甲状腺炎1例。漏诊的7例患者中,甲状腺癌4例,甲状腺腺瘤2例,结节性甲状腺肿1例。结论:应该充分认识到一些甲状腺疾病可以并存的事实,超声影像学对甲状腺良恶性鉴别诊断有一定客观难度,结节内钙化灶和血流RI值的检测对甲状腺疾病的诊断有重要的临床意义。
Objective: To investigate the causes of misdiagnosis of thyroid disease by ultrasound imaging. Methods: Twenty-two cases of missed diagnosis and misdiagnosis by ultrasound were analyzed. Results: Among the 15 patients misdiagnosed, there were 5 cases of thyroid cancer, 4 cases of nodular goiter, 5 cases of thyroid adenoma and 1 case of Hashimoto’s thyroiditis. Of the 7 patients who missed diagnosis, 4 were thyroid cancer, 2 were thyroid adenoma, and 1 was nodular goiter. Conclusion: It is necessary to fully recognize the fact that some thyroid diseases can coexist. Ultrasound imaging has certain objective difficulty in the differential diagnosis of benign and malignant thyroid glands. The detection of nodular calcification and RI in blood is of great clinical significance for the diagnosis of thyroid diseases .