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目的探讨超声在桥本甲状腺炎合并良恶性病变诊断中的价值。方法本组病例:桥本甲状腺炎合并甲状腺癌82例,合并良性病变87例,结合病理结果和术前超声检查,总结其声图像特点进行对比分析。结果桥本甲状腺炎合并甲状腺良恶性病变时,在超声图像上有其明显的特征表现,二者差异有统计学意义,桥本甲状腺炎合并甲状腺癌有如下特点:结节多呈低回声,边缘不规整,无明显包膜;多伴有砂砾样钙化;有的局部腺体回声明显减低,伴有弥漫性的砂砾样钙化,血流显示多为结节内的条状血流。良性病变结节多轮廓清晰,结节内回声高低不等,少有砂砾样钙化,结节周边多可见血流显示。结论对桥本状腺炎合并其他病变时,超声检查应注意腺体回声情况及腺体内病变的回声情况进行全面分析和判断;对于结节形态不规则、边界不清晰、伴有钙化灶、衰减应注意有恶性病变变的可能。
Objective To investigate the value of ultrasound in the diagnosis of Hashimoto’s thyroiditis with benign and malignant lesions. Methods This group of patients: Hashimoto’s thyroiditis with thyroid cancer in 82 cases, 87 cases of benign lesions, combined with pathological findings and preoperative ultrasonography, summarize the characteristics of the acoustic image for comparative analysis. Results Hashimoto’s thyroiditis Thyroid combined benign and malignant lesions, in which the ultrasound image characterized by significant, statistically significant difference between them, Hashimoto’s thyroiditis with thyroid has the following characteristics: nodule mostly hypoechoic edge Irregular, no significant capsule; mostly accompanied by gravel-like calcification; some local gland echo was significantly reduced, accompanied by diffuse gravel-like calcification, the blood flow showed mostly nodular blood flow. Benign lesions nodules and more clear outline of nodules, ranging from echoes, less gritty calcification, nodules more visible blood flow around the show. Conclusion of the Hashimoto-like pancreatitis associated with other lesions, ultrasound examination should pay attention to the situation and the gland glandular echo echo disease situation to conduct a comprehensive analysis and judgment; for irregular nodular shape, the boundary is not clear, accompanied by calcification, Decay should pay attention to the possibility of malignant transformation.