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目的通过对结节性甲状腺肿、甲状腺腺瘤的超声与临床病理诊断对比分析,探讨提高结节性甲状腺肿与甲状腺腺瘤的诊断和鉴别诊断水平。方法对经术前超声及术后临床病理诊断的165例结节性甲状腺肿与甲状腺腺瘤进行回顾性分析。结果结节性甲状腺肿、甲状腺腺瘤的超声诊断与临床病理诊断差异有统计学意义(P<0.05);超声诊断与临床病理诊断总符合率为68.5%(113/165),总误诊率为31.5%(52/165);结节性甲状腺肿与甲状腺腺瘤比较,有无包膜、单发结节或多发结节、有无囊性变及超声诊断有无晕环,两者比较差异有统计学意义(P<0.05)。结论超声对结节性甲状腺肿和甲状腺腺瘤仍存在误诊,可采取术前超声检查与术后临床病理诊断来进一步确诊及鉴别诊断。
Objective To compare the diagnosis of nodular goiter and thyroid adenoma with the clinicopathological diagnosis of nodular goiter and thyroid adenoma to improve the diagnosis and differential diagnosis of nodular goiter and thyroid adenoma. Methods A retrospective analysis of 165 cases of nodular goiter and thyroid adenoma confirmed by preoperative ultrasonography and postoperative clinicopathological diagnosis was performed. Results There was significant difference between ultrasonic diagnosis and clinicopathological diagnosis of nodular goiter and thyroid adenoma (P <0.05). The total coincidence rate of ultrasonic diagnosis and clinicopathological diagnosis was 68.5% (113/165). The total misdiagnosis rate was 31.5% (52/165); nodular goiter and thyroid adenoma compared with or without capsule, single nodules or multiple nodules, with or without cystic degeneration and ultrasound diagnosis of halo, the difference between the two There was statistical significance (P <0.05). Conclusion Ultrasound has misdiagnosis to nodular goiter and thyroid adenoma. It can be diagnosed and differentiated by preoperative ultrasonography and postoperative clinicopathological diagnosis.