195例甲状腺肿块的超声诊断与手术病理对照分析.pdf

MedWest 西部医学ZOIO年8月第22卷第8期J China，August2010，V01．22，No．8 195例甲状腺肿块的超声诊断与手术病理对照分析 靳晓清，黄兴兰，继业光 (编阳市中医院超声科，四川绵阳621000) 【摘要】 目的探讨二维超声以及彩色多苷勒超声对甲状腺肿决诊断的价值。方法应用二维超声及彩色多普勒 超声对195例甲状腺肿块患者进行检查并作出超声诊断，将其结果与术后病理检查结果对照，将肿块的形态、边界、包 膜、内部回声和颈部淋巴结有无转移及彩色多普勒超声显示甲状腺肿快的血流情况等指标作回顾性分析。结果 195 例甲状腺肿块手术后经病理证实为甲状腺癌23例，超声诊断符合率86．9％；甲状腺腺瘤87例，超声诊断符合率 94．2％；结节性甲状腺肿85例，超声诊断符合率85．5％。结论二维及彩色多普勒超声相结合有助于提高甲状腺肿块 的诊断符合率，减少漏诊、误诊病例，具有重要的临床应用价值。 【关键词】甲状腺肿块；彩色多普勒超声；诊断价值 736．1 【中图分类号】R445．1；R 【文献标识码】A of withcolor ultrasound Diagnosisthyroidlump Doppler JINXiao-Qing Ultrasound，ChineseMedicine 621000，Sichuan) (Departmentof HospitalofMianyang，Mianyang the of withcolor To Dopplerultrasound．Methods195 [Abstract]Objectiveinvestigatediagnosisthyroidlump with were withcolor with examination．The patientsthyroidlump diagnosed Dopplerultrasound，comparedpathological mass cervical nodemetastasisandcolor ultrasoundwereretro— echo，and Doppler shape，border，capsule，internallymph Of195 confirmed were23caseswith cancerwhoseul— spectivelyanalyzed．Resultspatients bypathology，there thyroid ratewas caseswith whoseultrasound trasound accuracy 86．9％，87 adenoma diagnostic rate diagnostic thyroid accuracy was94．2％and85caseswithnodularwhoseultrasound ratewas85．5％．ConclusionTwo-di- goiter diagnosticaccuracy withcolor ultrasoundca