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我们应用B超检查甲状腺疾患51例,符合率91.3%。现报告如下。临床资料本组男15例,女36例。年龄最小13岁,最大66岁,平均37岁。手术治疗44例;未手术6例,其中行病理检查2例;自动出院1例。B超诊断为结节性甲状腺肿7例,弥漫性甲状腺肿4例,甲状腺腺瘤39例,其中囊性16例,实质性15例,混合性8例,经手术核对或病理检查证实B超诊断正确者42例,诊断正确率91.3%(42/46)。误诊4例,其中囊性甲状腺腺瘤误诊为实质性甲状腺腺瘤1例,混合性甲状腺腺瘤误诊为实质性2例,甲状腺癌1例误诊为实质性甲状腺腺瘤1例,误诊率8.87%。讨论B超对肿块的物理性质(实质性与囊性)的鉴别有肯定意义。尤其是对肿块直径在1cm以上者,可明确显示出不同的声像图,准确率达80～95%,本组为
We used B-ultrasound to examine 51 cases of thyroid disorders with a 91.3% compliance rate. The report is as follows. Clinical data in this group of 15 males and 36 females. The youngest is 13 years old and the oldest is 66 years old, with an average age of 37. Surgical treatment of 44 cases; no surgery in 6 cases, including pathological examination in 2 cases; automatic discharge in 1 case. B-diagnosis was nodular goiter in 7 cases, diffuse goiter in 4 cases, thyroid adenoma in 39 cases, including 16 cases of cystic nature, 15 cases of substantial, mixed 8 cases, confirmed by surgery or pathological examination of B ultrasound The correct diagnosis of 42 cases, the diagnostic accuracy of 91.3% (42/46). Misdiagnosis in 4 cases, including cystic thyroid adenoma misdiagnosed as a substantial thyroid adenoma in 1 case, mixed thyroid adenoma misdiagnosed as substantive in 2 cases, 1 case of thyroid cancer misdiagnosed as a substantial thyroid adenoma in 1 case, misdiagnosis rate of 8.87% . Discussion B-mode ultrasonography has certain significance for the identification of the physical properties (substantial and cystic) of the mass. Especially for those with a diameter of 1cm or more, different sonograms can be clearly displayed with an accuracy of 80 to 95%.