甲状腺腺瘤超声声像图与手术病理对照分析
甲状腺,,甲状腺；腺瘤；超声检查；病理学,1资料与方法,2结果,3讨论,【参考文献】
【摘要】 目的 探讨甲状腺腺瘤的超声诊断及临床意义。方法 回顾性分析我院25例甲状腺腺瘤的声像图特征与手术病理对照。结果 甲状腺腺瘤声像图特征：(1)肿瘤单发结节多见，边界光滑，周边常伴弱回声晕；(2)瘤内常呈均匀性弱回声，少数为等、强回声；(3)瘤内常可发生囊变；(4)可见钙化；(5)CDFI可见瘤周环形血流等。直径1cm以上病灶诊断符合率达84.0%，1cm以下定位诊断准确，定性诊断困难。结论 B超对甲状腺腺瘤诊断有很大价值。【关键词】 甲状腺；腺瘤；超声检查；病理学
Comparative analysis of the ultrasonographic and pathological findings in thyroid adenoma
PENG Ruifen,XU Dongping.Department of General Surgery,Central Hospital of Zhabei District,Shanghai 200070,China
【Abstract】 Objective To investigate the ultrasonographic characteristics of thyroid adenoma and its clinical diagnostic value.Methods The ultrasonographic characteristics of thyroid adenoma in 25 patients treated in our hospital were analyzed retrospectively,which were compared with pathological results.Results There were many characteristics of ultrasonography of thyroid adenoma.Firstly,it was usually a single node,with clear boundary and sligh echo halo surrounding.Secondly,most nodes were homogeneously hypoechoic.Some were isoechoic and hyperechoic.Thirdly,there were cystoid and calcification in some nodes.Fourthly,imaging of CDFI showed circle blood flow around nodes.The coincident ratio of patients whose nodes were larger than 1 cm was 84%.To the others,level diagnosis was accurate,and qualititive diagnosis was difficult.Conclusion Ultrasonography is valuable for the diagnosis of thyroid adenoma. ......
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