摘要
目的:通过分析结节性甲状腺肿和甲状腺腺瘤的声像图特征及相应的病理学基础,探讨超声在结节性甲状腺肿和甲状腺腺瘤的鉴别诊断中的价值。方法:对经手术病理证实的53例结节性甲状腺肿与28例甲状腺腺瘤的超声声像图表现作统计学分析。结果:两组病例中性别、年龄、病灶的大小、病灶液性与实性回声的比例等指标,差异均无统计学意义(P>0.05),双侧叶是否肿大、病灶是否单发、病灶有无包膜、声晕、病灶周围有无正常甲状腺组织、边界是否清晰等指标,差异均有统计学意义(P<0.05)。结论:结节性甲状腺肿和甲状腺腺瘤两者的病理基础不同,构成了超声图像上的不同特征,可作为两病的超声鉴别诊断要点。
Objective To investigate ultrasonographic characteristics of nodular goiter and thyroid adenoma,to reveal pathologic background,and to look for their characteristics on ultrasonsgraphic differential diagnosis.Methods Fifty-three cases with nodulargoiter and 28 cases with thyroid adenoma were confirmed by pathologic diagnosis and the realationship between the ultrasonographic characteristics and there pathologic features were analyzed.Results The two groups showed no significant differences(P>0.05) in sex,age,diameters of lesions,ratio of liquid focus to solid focus.Infoci there were significant differences(P<0.05)in tumescence of bilateral thyroid gland,signle or plural foci,focal capsules and faint rings around the foci,the normal,thyroid tissue around the foci,theclear edge of the foci.Conclusion Because the pathologic basis of nodular goiter and thyroid adenoma are different,they have their own ultrasonographic characteristics.So we can make differential diagnosis between these two diseases by ultrasonography.
出处
《实用医技杂志》
2008年第6期705-707,共3页
Journal of Practical Medical Techniques
关键词
结节性甲状腺肿
甲状腺腺瘤
超声鉴别诊断
Nodular goiter
Thyroid adenoma
Ultrasonographic differential diagnosis
