摘要
目的分析结节性甲状腺肿和甲状腺腺瘤的声像图表现,探讨超声对二者的鉴别诊断价值。方法分析32例甲状腺腺瘤和49例甲状腺结节患者的声像图特点,并与术后病理对照。结果二维声像图示:结节性甲状腺肿表现为多结节分布,占68.7%(22/32),且周边少见晕环,腺体实质回声增粗;甲状腺腺瘤表现为单结节分布,占31.2%(10/32),且周边多见晕环,实质回声均匀。CDFI示:两者结节周边及内部血流信号有显著性差异(P<0.05)。结论彩色多普勒超声可提高结节性甲状腺肿和甲状腺腺瘤的鉴别诊断水平,具有重要的临床意义。
Objective To evaluate the differential diagnostic value of sonography in nodular goilter and thyroid adenoma. Methods The sonographie characteristics of 32 eases with nodular goiher were compared with those of 49 eases with thyroid adenoma; all selected patients were confirmed by postoperative pathologic results. Results Two - dimensional ultrasonographie results were as follow： the ultrasonographie findings in nodular goiher included multinodular distribution （22/32, 68.7% ）, fewer halos around and hypereehoie gland but the thyroid adenoma were solitary （10/32,31.2%）, more halos around and well- distributed echoic gland. Color Doppler flow imaging found that the perimeter and internal signals between nodular goiter and thyroid adenoma had significant difference （P 〈 0.05）. Conclusion Color Doppler sonography has important clinical value in differential diagnosis between nodular goiter and thyroid adenoma.
出处
《临床超声医学杂志》
2008年第7期485-487,共3页
Journal of Clinical Ultrasound in Medicine
