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目的:探讨甲状腺结节和甲状腺癌的超声鉴别的特点及诊断价值。方法:对我院2012年2月至2013年2月经过手术和病理诊断的65例甲状腺结节(115个结节)和60例甲状腺癌(72个结节)的超声检测资料进行回顾性分析。结果:65甲状腺结节患者中,52例为明确诊断,10例为疑似病例,3例为误诊。其中钙化10个,低回声5个,混合回声40个,边缘清晰58个,血液分布II、III级15个;60例甲状腺癌患者,确诊40例,疑似15例,误诊5例。其中钙化53个,低回声35个,混合回声12个,边缘清晰8个,血液分布II、III级30个。通过比较,甲状腺结节和甲状腺癌的钙化、低回声、混合回声、边缘清晰、血液分布等情况差异较大(P<0.05),具有统计学意义。结论:超声检测对于甲状腺结节和甲状腺癌的鉴别具有重大的诊断价值。
Objective: To investigate the characteristics and diagnostic value of ultrasonic diagnosis of thyroid nodules and thyroid cancer. Methods: The data of 65 cases of thyroid nodules (115 nodules) and 60 cases of thyroid carcinoma (72 nodules) who underwent surgical and pathological diagnosis from February 2012 to February 2013 in our hospital were analyzed retrospectively . Results: Of the 65 thyroid nodules, 52 were diagnosed correctly, 10 were suspected and 3 were misdiagnosed. There were 10 calcifications, 5 low echoes, 40 mixed echoes, 58 clear edges and 15 blood distribution levels II and III. Of the 60 thyroid cancer patients, 40 were diagnosed, 15 were suspected and 5 were misdiagnosed. There were 53 calcifications, 35 low echoes, 12 mixed echoes, 8 clear edges and 30 blood distribution levels II and III. By comparison, thyroid nodules and thyroid cancer were significantly different in calcification, hypoechoicity, mixed echoes, sharp edges and blood distribution (P <0.05), with statistical significance. Conclusion: Ultrasound has important diagnostic value for the identification of thyroid nodules and thyroid cancer.