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目的探讨甲状腺微小占位性病变的彩色多普勒血流图特征与病理类型的对应关系。方法用二维及多普勒超声诊断仪检测51例甲状腺微小肿块的声像图特征,并与手术、病理结果进行对比分析。结果247例甲状腺肿块中经过手术51例,二维超声检查诊断符合率71.43%;其中甲状腺癌24例,甲状腺瘤15例,桥本氏病3例,结节性甲状腺肿9例。结论甲状腺肿块形式多样,表现复杂,甲状腺肿块的声像图特征对判断其病理类型有一定的临床价值,采用彩色多普勒血流图进行综合分析,可提高诊断准确率。
Objective To investigate the relationship between color Doppler flow pattern and pathological type in thyroid small footprint lesions. Methods The ultrasonographic features of 51 cases of thyroid micrometastasis were detected by 2D and Doppler sonography and compared with the results of surgery and pathology. Results Among the 247 thyroid masses, 51 cases were treated by surgery and the coincidence rate was 71.43% by two-dimensional ultrasonography. There were 24 thyroid carcinomas, 15 thyroid tumors, 3 Hashimoto’s disease and 9 nodular goiters. Conclusions Thyroid masses have various forms and complicated manifestations. The sonographic features of thyroid masses have some clinical value in judging the pathological types of thyroid masses. Comprehensive analysis using color Doppler flowgraphy can improve the diagnostic accuracy.