无痛性甲状腺炎结节性甲状腺肿和甲状腺腺瘤超声诊断及临床意义.docVIP

无痛性甲状腺炎结节性甲状腺肿和甲状腺腺瘤超声诊断及临床意义 　　【摘 要】 目的：探讨无痛性甲状腺炎、结节性甲状腺肿与甲状腺腺瘤的超声诊断对患者临床治疗的影响。方法：随机选取我院2016年1月至2017年1月收治的临床初步诊断甲状腺肿的68例患者，所有患者均进行超声检查，结合患者超声检查结果以及??验室检查进行确诊治疗，随访观察68例患者的预后情况。结果：超声检查显示68例患者中有有25例患者为无痛性甲状腺炎，有11例患者为结节性甲状腺肿，有17例患者为甲状腺瘤。根据患者超声检查结果均给予相应临床治疗，随访发现25例患者为无痛性甲状腺炎均治愈，11例结节性甲状腺肿患者药物治疗联合手术治疗，有2例患者术后复发，17例甲状腺瘤患者有3例患者转为早期甲状腺腺癌，有1例患者出现癌细胞转移扩散。结论：超声检查对无痛性甲状腺炎、结节性甲状腺肿、甲状腺腺瘤的分辨率高，意识根据超声声像图的成像特征，结合患者临床症状以及实验室检查结果给予相应的临床治疗，能有效提高临床治愈率，降低疾病的复发率。 　　【关键词】 无痛性甲状腺炎 结节性甲状腺肿 甲状腺腺瘤 超声诊断 　　【Abstract】 Objective： To investigate the effect of ultrasonography on painless thyroiditis， nodular goiter and thyroid adenoma in patients with clinical treatment. Methods： Sixty-eight patients with thyroid goiter diagnosed from January， 2001 to January， 2017 were randomly selected. All patients underwent ultrasonography. The patients were diagnosed and treated with ultrasonography and laboratory examination. The prognosis of patients. Results： Ultrasonography showed that 25 of the 68 patients had painless thyroiditis， 11 had nodular goiter， and 17 had thyroid tumors. According to the results of patients with ultrasound were given the appropriate clinical treatment， follow-up found that 25 patients were painless thyroiditis were cured， 11 patients with nodular goiter drug treatment combined with surgical treatment， 2 patients with recurrence， 17 cases of thyroid Tumor patients with 3 patients to early thyroid adenocarcinoma， 1 case of cancer metastasis occurred in patients with cancer. Conclusion： Ultrasonography has high resolution of painless thyroiditis， nodular goiter and thyroid adenoma. According to the imaging features of ultrasonography， combined with the clinical symptoms and the results of laboratory examination， the corresponding clinical treatment is given. Can effectively improve the clinical cure rate， reduce the recurrence rate of the disease. 　　【Key words】 painless thyroiditis； nodular goiter； thyroid adenoma； ultrasound diagnosis 　　甲状腺整体外形似碟，由颈前部左右两侧软组织、颈外动脉包裹，内有多个小叶，每个小