195例甲状腺肿块的超声诊断与手术病理对照分析

Diagnosis of thyroid lump with color Doppler ultrasound

目的探讨二维超声以及彩色多普勒超声对甲状腺肿块诊断的价值。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。

Objective To investigate the diagnosis of thyroid lump with color Doppler ultrasound.Methods 195 patients with thyroid lump were diagnosed with color Doppler ultrasound,compared with pathological examination.The mass shape,border,capsule,internal echo,and cervical lymph node metastasis and color Doppler ultrasound were retrospectively analyzed.Results Of 195 patients confirmed by pathology,there were 23 cases with thyroid cancer whose ultrasound diagnostic accuracy rate was 86.9%,87 cases with thyroid adenoma whose ultrasound diagnostic accuracy rate was 94.2% and 85 cases with nodular goiter whose ultrasound diagnostic accuracy rate was 85.5%.Conclusion Two-dimensional combined with color Doppler ultrasound can improve diagnostic accuracy rate and reduce misdiagnosis and misdiagnose for thyroid lump.