论文部分内容阅读
目的探讨彩色超声多普勒对结节型甲状腺炎的临床应用价值。方法将应用彩色超声多普勒诊断的69例143个结节型甲状腺炎患者的声像图改变与手术病理和血清学抗体(TMAb、TGAb)证实的结节型甲状腺炎进行最终诊断结果的对照和分析。结果经临床证实的143个结节型甲状腺炎中,有137个为结节型桥本氏甲状腺炎,有6个为结节型亚甲炎;而超声诊断为结节型桥本氏甲状腺炎106个,结节型亚甲炎3个,总符合率为76.2%。超声误诊为甲状腺微小癌7个,结节性甲状腺肿17个,甲状腺腺瘤10个,误诊率为23.8%。结论结节型甲状腺炎与甲状腺微小癌、结节性甲状腺肿、甲状腺腺瘤在结节的形态、纵横比和边界改变方面以及内部回声等声像图表现均存在一定的差异,所以应用彩色超声多普勒可以对结节性甲状腺炎做出比较准确的诊断。
Objective To investigate the clinical value of color Doppler ultrasound in the diagnosis of nodular thyroiditis. Methods A total of 143 cases of nodular thyroiditis diagnosed by color Doppler imaging were compared with the results of final diagnosis of nodular thyroiditis confirmed by surgical pathology and serological antibodies (TMAb, TGAb) And analysis. Results Of the 143 clinically confirmed nodular thyroiditis, 137 were nodular Hashimoto’s thyroiditis and 6 were nodular hypothyroiditis. The sonographic diagnosis was nodular Hashimoto’s thyroiditis 106, nodular salivary 3, the total coincidence rate was 76.2%. Ultrasound misdiagnosed as thyroid microcarcinoma 7, nodular goiter 17, thyroid adenoma 10, misdiagnosis rate was 23.8%. Conclusion Nodular thyroiditis and thyroid microcarcinoma, nodular goiter, thyroid adenoma in nodular morphology, aspect ratio and boundary changes, as well as internal echo and other echocardiographic performance are some differences, so the application of color ultrasound Doppler can make a more accurate diagnosis of nodular thyroiditis.