弥漫型桥本氏甲状腺炎合并结节的良恶性超声诊断探讨

Ultrasonic Diagnosis Value in Diffuse Type Hashimoto's Thyroiditis Combine Nodus's Benign or Malignant

目的探讨弥漫型桥本氏甲状腺炎合并结节的良恶性超声诊断价值。方法对66例超声诊断弥漫型桥本氏甲状腺炎合并良恶性结节的病例全部与手术病理结果进行对照结果 66例超声诊断桥本氏甲状腺炎合并良恶性结节的患者,病理结果24例乳头状癌,9例滤泡状癌,1例未分化癌,1例髓样癌,1例恶性淋巴瘤,6例腺瘤,21例结节性甲状腺肿,3例炎性结节。超声检查的敏感性83.3%、特异性76.6%及准确性80.3%。结论超声诊断弥漫型桥本氏甲状腺炎合并良恶性结节对临床有较高的参考价值。

Objective To investigate the ultrasonic diagnosis value in differentiating malignant from benign lesions of diffuse type hashimoto＇s thyroiditis combining with nodus＇.Methods Sixty-six cases which had been diagnosed with diffuse type hashimoto＇s thyroiditis combining with nodus＇ by the ultrasound were compared with the operation pathology results.Results Twenty-four cases were papillary carcinoma,9 cases were follicular carcinoma,1 case was undifferentiated carcinoma,1 case was medullary carcinoma,1 case was lymphadenoma,6 cases were adenoma,21 cases were nodular goiter,3 cases were burning nodus.The ultrasound diagnosis sensitivity was 83.3%,specificity was 76.6%,accuracy was 80.3%.Conclusion The ultrasound is very valuable in differentiating malignant from benign lesions of the diffuse type hashimoto＇s thyroiditis combining with nodus＇s.