甲状腺腺瘤的诊断:超声图像特征与病理对照

Comparison Study of Ultrasonography with Pathology in Diagnosing Thyroid Adenoma

目的：对比甲状腺腺瘤超声图像特征与病理的关系。方法：对８０例甲状腺腺瘤术前超声图像特征与术后病理变化对照分析。结果：滤泡性甲状腺腺瘤诊断符合率为９２．３％（４８／５２），各型腺瘤的组织结构不同决定了回声强度。结论：腺瘤的声像图表现与病理分类间存在交叉重叠关系，增加了超声病理分型及多源性病灶并存诊断的难度。“暗环”并非甲状腺腺瘤特有的征象。

To compare the ultrasonography with pathology in diagnosing thyroid adeonoma.Method:The preopera- tive sonographic characteristics and pathological changes were compared and analyzed in 80 cases of thyroid adenomas. Results: The di- agnostic accurate rate of follicular thyroid adenomas was 92.31 % (48/52). Echo intensity was determined by the abnormal tissue struc- tures in adenoma. Conclusion:the sonographic characteristics and the pathological classification overlapped. It was difficult to identify pathological types in ultrasonography especially in cases of multi- source masses,the dark ring was not a specific feature of thyroid ad- enomas.