论文部分内容阅读
目的探讨无痛性甲状腺炎、结节性甲状腺肿与甲状腺腺瘤的超声诊断及临床预后。方法对临床诊断甲状腺肿大,超声检测中发现的45例甲状腺结节进行超声诊断检查及随访。结果良性的甲状腺结节可单发亦可多发性。本组随访45例中21例为结节状甲状腺肿;8例为甲状腺炎性结节;16例为甲状腺腺瘤。随访4年后,甲状腺腺瘤手术切除,其中2例转为早期甲状腺腺癌(病理检查报告确诊),21例结节状甲状腺肿其中8例出现囊性变。结论超声影像技术对无痛性甲状腺炎、结节性甲状腺肿、甲状腺腺瘤,根据声像图特征,密切结合病史及实验室检查进行随访,具有较高的临床诊断价值。
Objective To investigate the echocardiographic diagnosis and clinical prognosis of painless thyroiditis, nodular goiter and thyroid adenoma. Methods 45 cases of thyroid nodules found in clinical diagnosis of thyroid enlargement and ultrasound examination were examined by ultrasound and followed up. The results of benign thyroid nodules can be single or multiple. Twenty-one cases were followed up for nodular goiter in 45 cases, thyroid inflammatory nodules in 8 cases and thyroid adenoma in 16 cases. After 4 years of follow-up, thyroid adenoma was surgically removed, of which 2 cases were converted to early thyroid adenocarcinoma (pathological examination report confirmed), and 21 cases of nodular goiter were cystic degeneration. Conclusion Ultrasound imaging has a high clinical diagnostic value for painless thyroiditis, nodular goiter and thyroid adenoma, according to the features of sonography, closely combined with medical history and laboratory tests.