目的：对比甲状腺腺瘤超声图像特征与病理的关系。方法：对８０例甲状腺腺瘤术前超声图像特征与术后病理变化对照分析。结果：滤泡性甲状腺腺瘤诊断符合率为９２．３％（４８／５２），各型腺瘤的组织结构不同决定了回声强度。结论：腺瘤的声像图表现与病理分类间存在交叉重叠关系，增加了超声病理分型及多源性病灶并存诊断的难度。“暗环”并非甲状腺腺瘤特有的征象。 Objective: To compare the characteristics of ultrasonographic features and pathology of thyroid adenomas. Methods: A comparative analysis of preoperative ultrasonographic features and postoperative pathological changes in 80 cases of thyroid adenomas. Results: The diagnostic accuracy rate of follicular thyroid adenoma was 92.3% (48/52). The echo structure was determined by the different structures of adenomas. Conclusion: There is a cross-overlapping relationship between the sonographic appearance and pathological classification of adenomas, which increases the difficulty of co-existing pathological classification and multi-source lesions diagnosis. “Shadow ring” is not a sign of thyroid adenoma.