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超声对单发性结节性甲状腺肿与甲状腺腺瘤的鉴别诊断价值

Differential Diagnostic Value of Ultrasonography Between Solitary Nodular Goiter and Thyroid Adenoma

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【作者】 张宇虹夏稻子刘颖林萍高林礼广森祁志良李本葵张文华由悦

【Author】 Zhang Yuhong,Xia Daozi,Liu Ying,et al Dept.Ultrasound,Second Affiliated Hospital,Dalian Medical University,Dalian 116023 China

【机构】 大连医科大学附属第二医院超声诊断科大连医科大

【摘要】 目的 :探讨超声对单发性结节性甲状腺肿与甲状腺腺瘤的鉴别诊断价值。方法 :分析并比较 34例单发结节结节性甲状腺肿与 30例甲状腺腺瘤的二维及彩色多普勒超声声像图。结果 :34例单发结节结节性甲状腺肿与30例腺瘤比较 ,甲状腺大小、结节大小、结节内回声及周围回声均无显著性差异 ( P>0 .0 5 ) ;结节边缘晕环及结节内部和周边血流信号具有显著性差异 ( P<0 .0 5 )。结论 :单发结节结节性甲状腺肿较易误诊为腺瘤 ,结节边缘晕环及结节内部和周边血流信号可以为鉴别诊断提供一定的帮助

【Abstract】 Objective:To discuss the differential diagnostic value of ultrasonography between solitary nodular goiter and thyroid adenoma.Methods:The 2 DE and CDFI ultrasound images of 34 cases with solitary nodular goiter and 30 cases with thyroid adenoma were analysed and compared.Results:There were no significant differences in the sizes of thyroid glands and nodules,nor were the intranodular and perinodular echoes between the group of nodular goiter and adenoma( P >0 05).There were significant differences in the "halo" sign and intranodular and perinodular blood flow ( P <0 05)between the two groups.Conclusions:Solitary nodular goiters are often easily misdiagnosed as adenoma.The "halo" sign and intranodular and perinodular blood flow may be helpful for differential diagnosis.

  • 【文献出处】 中国超声医学杂志 ,Chinese Journal of Ultrasound In Medicine , 编辑部邮箱 ,2001年04期
  • 【分类号】R445.1
  • 【被引频次】53
  • 【下载频次】199
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