B超诊断在甲状腺肿块临床鉴别诊断中的作用  

The function of B-ultrasonography in clinical diagnosis in thyroid nodule

作　　者：刘俊[1] 任建强[1] 项富海[1] 董婕[2] 

机构地区：[1]上海市第一人民医院普外科,200080 [2]复旦大学第一临床医学院

出　　处：《临床外科杂志》2002年第z1期21-23,共3页Journal of Clinical Surgery

摘　　要：目的　探讨甲状腺肿块的 B超误诊原因及 B超在甲状腺肿块临床诊断鉴别诊断中的作用。方法　回顾性分析 30 7例甲状腺肿块的 B超诊断和病理诊断结果。结果　 B超诊断与病理诊断符合率相差较大。 B超提示甲状腺多发性结节的绝大多数为结节性甲状腺肿 ,B超提示甲状腺单发结节的病理为结节性甲状腺肿和腺瘤的的比例约为 3∶ 2。B超提示为甲状腺实质性占位的则恶性肿瘤的可能性较大。结论　临床医师不能把 B超诊断当成临床诊断。B超提示为甲状腺多发结节的大多数为结节性甲状腺肿 ,提示为单发结节的应结合其它检查进一步鉴别 ,确诊有待病理学检查。Objective To investigate the causes of misdiagnosis of B-ultrasonography in thyroid nodule and the function of B-ultrasonography in diagnosis in thyroid nodule.Methods 307 patients with thyroid nodule were analysis between the diagnosis of B-ultrasonography and pathology.Results The diagnosis of B-ultrasonography was different from the diagnosis of pathology in thyroid nodule. If the thyroid nodule found by B-ultrasonography was multiple, it was nodular goiter; If the thyroid nodule found by B-ultrasonography was single, the ratio of nodular goiter and thyroid adenoma was 3∶2.Conclusions Clinical physician did not grant the diagnosis of B-ultrasonagraphy as clinical diagnosis. Most of multiple thyroid nodules were nodular goiter, single mass may be nodular goiter or thyroid adenoma. When the diagnosis of B-ultrasonagraphy was thyroid occupation, it may be malignant thyroid neoplasm.

关 键 词：甲状腺肿块 B超 临床诊断 

分 类 号：R736.1[医药卫生—肿瘤]