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目的探讨大学新生入学体检触诊甲状腺异常,进一步行彩色超声检查及结合临床分析的必要性。方法触诊甲状腺肿大或结节161例,对其进行彩色多普勒超声(CDFI)检查,部分结合甲状腺功能五项化验。结果 161例甲状腺异常彩超显示甲状腺声像图正常77例,异常84例,其中仅2例男性,余82例均为女性。甲状腺弥漫性病变52例,有14例合并甲状腺结节,诊断桥本炎26例,其中合并甲减及甲亢各2例,12例单纯性甲状腺肿。甲状腺结节45例,其中3例手术证实为甲状腺乳头状癌,1例高度怀疑甲状腺癌未手术。余41例无明显恶性倾向,建议定期复查。结论在新生体检颈部触诊异常时进行CDFI筛查,是非常重要的检查手段,结合甲状腺血生化,对甲状腺疾病能早发现,早治疗。
Objective To explore the new college entrance examination medical examination palpation of thyroid abnormalities, further color ultrasound and the need for clinical analysis. Methods Palpation of 161 cases of goiter or nodules was examined by color Doppler ultrasonography (CDFI) and partially by five tests of thyroid function. Results 161 cases of abnormal thyroid ultrasound showed thyroid gland normal 77 cases, 84 cases of abnormal, of which only 2 cases of men, more than 82 cases were female. Thyroid diffuse lesions in 52 cases, 14 cases with thyroid nodules, 26 cases of Hashimoto’s diagnosis, including hypothyroidism and hyperthyroidism in 2 cases, 12 cases of simple goiter. Thyroid nodules in 45 cases, of which 3 cases were confirmed as thyroid papillary carcinoma surgery, 1 case of highly suspected thyroid cancer without surgery. More than 41 cases no obvious malignant tendency, it is recommended to review regularly. Conclusions Screening of CDFI during neonatal examination of abnormal palpation of the neck is a very important examination method. Combined with thyroid blood biochemistry, thyroid disease can be detected and treated as early as possible.