甲状腺疾病的B超临床诊断分析

An analysis of diagnosing thyroid diseases by B-ultrasound

目的:研究和分析B超在甲状腺疾病中的临床诊断效果。方法:随机选取2016年8月-2017年7月我院收治的109例甲状腺疾病患者作为研究对象,采用B超进行临床诊断,与甲状腺穿刺病理结果、化验检查诊断结果进行比较,分析B超临床诊断效果。结果:B超检查结果:单纯甲状腺肿24例,弥漫性甲状腺肿29例,甲状腺功能减退19例,结节性甲状腺37例。病理检查结果:单纯甲状腺肿19例;弥漫性甲状腺肿32例;甲状腺功能减退15例;结节性甲状腺43例。B超诊断结果:甲减29例、甲亢41例,腺病16例,结节21例,甲状腺癌2例;化验检查诊断结果:甲减27例,甲亢37例,腺病15例,结节18例,甲状腺癌2例。检出率分别为93.10%、90.24%、93.75%、85.71%、100.00%。两组比较数据差异显著,具有可比性,P <0.05。结论:B超在甲状腺疾病中的临床诊断效果显著,可有效提高甲状腺疾病的检出率和准确率,且诊断效率高,对患者无创伤,故值得临床推广应用。

Objective:To study and analyze the effects of B-ultrasound in thyroid diseases.Methods:109 patients were randomly selected as the study subjects.The patients was diagnosed by B-ultrasound;the results were compared with pathological and laboratory findings of thyroid puncture;the clinical diagnostic effect of B-ultrasound was analyzed.Results:In B-ultrasound of checked results,there were 24 cases of simple goiter,29 cases of diffuse goiter,19 cases of hypothyroidism and 37 cases of nodular goiter.In pathological findings of checked results,there were 19 cases of simple goiter,32 cases of diffuse goiter,15 cases of hypothyroidism and 43 cases of nodular goiter.In B-ultrasound of diagnosed results,there were 29 cases of hypothyroidism,41 cases of hyperthyroidism,16 cases of adenopathy,21 cases of nodules,2 cases of thyroid cancer;in laboratory diagnosis,there were 27 cases of hypothyroidism,37 cases of hyperthyroidism,15 cases of adenopathy,18 cases of nodules,2 cases of thyroid cancer.The detection rates were 93.10%,90.24%,93.75%,85.71%and 100.00%respectively.There were significant differences between groups,P<0.05.Conclusion:B-ultrasound is effective in diagnosis of thyroid diseases,can effectively improve the detection rate and accuracy of thyroid diseases,with a high diagnostic efficiency,no trauma to patients,is worthy of clinical application.