B超在甲状腺占位病变诊断和治疗中的应用进展

Application progress of B ultrasound in the diagnosis and treatment of thyroid space occupying lesions

目的:早期快速准确检出并鉴定甲状腺占位病变的性质并决定哪些占位需进一步关注或干预,对临床治疗方法的选择具有重要意义。超声是临床诊断甲状腺占位病变的重要方法,超声引导的细针抽吸细胞学检查是诊断甲状腺病变的金标准。在治疗方面,超声介导射频消融对良性占位病变的疗效比较显著,高强度聚焦超声是近年发展起来的新技术,对占位病变的消融作用优于射频消融。

Detecting and identification of thyroid occupying lesions quickly and accurately,and then deciding which needs to befurther concerned or intervened,has great significance for selection of clinical treatment methods.Ultrasound is an importantmethod for the clinical diagnosis of thyroid occupying lesions.Ultrasound guided fine-needle aspiration cytology is the goldstandard for the diagnosis of thyroid lesions.Ultrasound mediated radiofrequency ablation has significant treatment effect onbenign lesions.High intensity focused ultrasound is a new technology developed in recent years,and its ablation effect onoccupying lesions is better than that of radiofrequency ablation.