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目的探讨彩超在老年人群甲状腺结节的应用价值。方法选取2012年10月至2014年10月收治的120例60岁以上老年住院患者,对结节特点及超声诊断结果进行分析。结果 120例结节检出103例(86%),共检查出结节352个,其中良性结节97例,共341个,多为结节性甲状腺肿,腺瘤及囊腺瘤,桥本病伴结节,恶性结节6例共11个。结节特点以多发(65.8%),低回声(67.8%)及直径≤1.0 cm小结节(71.8%)为主。16例手术后病理证实:12例为甲状腺腺瘤,2例为乳头状癌,1例为滤泡状癌,1例为髓样癌。结论超声能够及早发现老年人群甲状腺结节,一定程度上鉴别良恶性,有较高的诊断价值,且操作简单方便,可在临床广泛应用。
Objective To explore the value of color Doppler ultrasound in thyroid nodules in the elderly. Methods A total of 120 elderly hospitalized patients over the age of 60 from October 2012 to October 2014 were selected to analyze the characteristics of nodules and the results of ultrasound diagnosis. Results The nodules of 120 cases were detected in 103 cases (86%). A total of 352 nodules were detected, including 97 benign nodules (341 cases in total), mostly nodular goiter, adenoma and cystadenoma, Hashimoto Disease with nodules, malignant nodules in 6 cases a total of 11. The characteristics of nodules were multiple (65.8%), hypoechoic (67.8%) and nodules (71.8%) with diameter less than 1.0 cm. Sixteen cases were pathologically confirmed: 12 had thyroid adenoma, 2 had papillary carcinoma, 1 had follicular carcinoma and 1 had medullary carcinoma. Conclusion Ultrasound can detect thyroid nodules in the elderly as early as possible, and can identify benign and malignant tumors to a certain extent. It has high diagnostic value and is easy to operate and can be widely used in clinical practice.