甲状腺结节声晕的超声鉴别诊断价值
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摘要
目的探讨不同性质甲状腺结节声晕的鉴别诊断价值。方法回顾性分析153个甲状腺结节的常规超声及弹性成像声像图特征,并与病理结果对比分析。结果 1、在结节的声晕厚度、声晕规则与否、声晕血流信号方面甲状腺癌与甲状腺腺瘤和结节性甲状腺肿均有差异(p<0.05)2、甲状腺癌与甲状腺腺瘤的声晕的完整性、清晰与否方面有差异(p<0.05),与结节性甲状腺肿结节无差异(p>0.05)。结论不同性质甲状腺结节声晕均有特征性的超声声像图表现,对鉴别诊断有重要的价值。
Objective Discussion in differential diagnosis of thyroid nodules of different nature sound halo. Methods: A retrospective analysis of conventional ultrasound and elastography 153 sonographic features of thyroid nodules, and with pathological results were analyzed. Results: 1. Nodular sound thickness halo, halo rule or not sound, the sound of faint blood flow aspects of thyroid cancer and thyroid adenoma and nodular goiter were different.(p<0.05)2. Halo sound integrity thyroid cancer and thyroid adenoma, there are differences(p<0.05) or not clear connection, no difference between nodular goiter nodules.(p>0.05) Conclusions: Halo sound different nature of thyroid nodules are characteristic sonographic manifestations, differential diagnosis has important value.
引文
[1]陈敏,朱世亮,周世崇,等.高频超声在甲状腺癌诊断和鉴别诊断中的应用.中华医学超声杂志,2006,3(3):161;
    [2]丛淑珍,徐辉雄,吴丽桑,等.超声探测甲状腺结节内钙化的临床意义.中国超声医学杂志,2004,20(4):254
    [3]丛新丽,李树祝.彩色多普勒超声诊断甲状腺肿瘤的价值[J].中国医学影像学杂志,2009,7(2):130.