桥本甲状腺炎并良、恶性甲状腺结节的超声表现

发布时间：2018-02-10 12:55

本文关键词： 超声检查桥本甲状腺炎良、恶性甲状腺结节　出处：《中国现代医学杂志》2015年32期 　论文类型：期刊论文

【摘要】：目的探讨桥本甲状腺炎(HT)背景下,甲状腺良、恶性结节超声鉴别诊断的价值。方法回顾性分析该院2008年12月-2014年10月经病理证实的30例HT合并甲状腺恶性结节患者(病例组)和82例HT合并甲状腺良性结节患者(对照组)的术前超声表现,包括结节的形态、边界、内部回声、钙化、声晕、后方回声衰减、周围腺体回声、血流分级和血流阻力指数,采用SPSS 19.0统计软件进行数据分析。结果两组甲状腺结节的形态、边界、内部回声、微钙化、血流分级和血流阻力指数比较,差异有统计学意义(χ2=8.616、19.625、6.941、23.185、8.042和8.616,P=0.003、0.000、0.008、0.000、0.005和0.003);两组甲状腺结节的粗钙化、声晕、后方回声衰减、周围腺体回声比较,差异无统计学意义(χ2=0.130、1.461、1.481和0.130,P=0.908、0.227、0.224和0.910)。病例组30个恶性甲状腺结节中术前超声检出率为53.3%(16/30),误诊率46.7%(14/30);对照组82个结节中术前超声检出率为81.7%(67/82),误诊率为18.3%(15/82)。病例组发病年龄比对照组小,两组患者以女性为主。结论 HT背景下良、恶性甲状腺结节的超声表现不同,超声对HT背景下良、恶性甲状腺结节的诊断及鉴别诊断有重要价值。
[Abstract]:Objective to study the thyroid benign in the background of Hashimoto's thyroiditis (HT). Methods from December 2008 to 2014, 30 cases of HT complicated with malignant thyroid nodules and 82 cases of HT complicated with benign thyroid nodules were retrospectively analyzed. Patients (control group) had preoperative ultrasonographic findings, The shape, boundary, internal echo, calcification, corona, posterior echo attenuation, peripheral gland echo, blood flow grading and blood flow resistance index of the nodules were analyzed by SPSS 19.0 statistical software. The difference of boundary, internal echo, microcalcification, blood flow grading and blood flow resistance index was statistically significant (蠂 2 / 8.616 / 19.6256.941C 23.185 / 8.042 and 8.616p 0.003 / 0.0080.0000.000 / 0. 0080.000 / 0. 005 and 0. 003 / 0. 003 respectively); the coarse calcification, halo, posterior echo attenuation, and peripheral gland echo were compared between the two groups. There was no significant difference between the two groups (蠂 2 / 0.130 / 1.461 / 1.481 and 0.130 / 0.908 / 0.2270.224 and 0.910) respectively. The preoperative ultrasonic detection rate of 30 malignant thyroid nodules in the case group was 53.33 / 30 and the misdiagnosis rate was 46.7 / 30 / 30. In the control group, the preoperative ultrasonic detection rate was 81.767 / 82g and the misdiagnosis rate was 18.3B / 820.The age of the case group was lower than that of the control group, and the rate of misdiagnosis was lower than that of the control group (P < 0.05). Conclusion the ultrasonic findings of benign and malignant thyroid nodules in HT background are different. Ultrasound has important value in the diagnosis and differential diagnosis of benign and malignant thyroid nodules in HT background.
【作者单位】：南华大学附属南华医院超声科;
【分类号】：R581;R445.1

【参考文献】