高频彩超在桥本甲状腺炎甲状腺微小结节良恶性中的应用价值研究

Application of high frequency color ultrasound in benign and malignant Thyroid nodules in Hashimoto thyroiditis

目的:探讨在桥本甲状腺炎及甲状腺微小结节的良恶性疾病的临床诊疗中,选择高频彩超技术的临床疗效。方法:选取我院2019年1月—2021年5月收治的甲状腺内结节性病变待查的患者95例,所有患者均行高频超声检查,观察其超声图像特点,检查后行实验室检查,手术者行组织病理学检查、未手术者行细针穿刺抽吸活检(FNA)细胞学检查,将所获取结果作为参照,筛选出局限性桥本甲状腺炎(桥本结节)及甲状腺良恶性结节的患者进行研究。分析高频超声分别在桥本甲状腺炎及甲状腺微小结节中的符合率。结果:超声诊断局限性桥本甲状腺炎(即桥本结节)30例,甲状腺良性结节36例,甲状腺恶性结节29例。行组织病理学及FNA检查后,检出桥本结节21例,良性结节25例,恶性结节21例。诊断符合率为70.5%。良恶性结节除边界、晕环外,形状、边缘、微钙化的检出率差异均有统计学意义(P<0.05)。结论:高频彩超可以检出许多临床未触及的直径<1 cm的微小病灶,同时对甲状腺小结节的良恶性方面具有很好的鉴别能力,可最大程度争取对甲状腺结节性病变的早期诊断与鉴别,对于指导临床有效诊疗、改善患者预后有较好的作用。

Objective To consider the clinical effect of selecting high-frequency color ultrasound technology in the clinical diagnosis and treatment of Hashimoto thyroiditis and small thyroid nodules.Methods From January 2019 to may 2021,95 patients with thyroid space occupying change were selected.All patients underwent high-frequency ultrasonography,observe the characteristics of the ultrasound images,performed laboratory examination,operator histopathology,unsurgical fine needle aspiration biopsy(FNA)cytology,and take the results as reference to study patients with limited Hashimoto thyroiditis(nodules)and thyroid nodules.To analyze the coincidence rate of high frequency ultrasound in Hashimoto thyroiditis and thyroid micro nodule.Results Ultrasonic diagnosis of Hashimoto thyroiditis(bridging nodules),30 cases of benign thyroid nodules and 29 thyroid malignant nodules.After histopathology and FNA examination,21 Hashimoto nodules,25 benign nodules and 21 malignant nodules were detected.The diagnostic coincidence rate was 70.5%.There were significant differences in the detection rate of shape,edge and microcalcification between benign and malignant nodules except boundary and halo ring(P<0.05).Conclusion High-frequency color ultrasound can detect many small lesions with diameter less than 1cm,and have good discrimination ability for the benign and malignant aspects of thyroid nodules,which can strive for the early diagnosis and identification of thyroid nodules,and has a good role in guiding clinical effective diagnosis and treatment and improve the prognosis of patients.