超声诊断甲状腺肿瘤的病理基础及鉴别诊断价值  

The pathologic basis and differential diagnostic value of ultrasound for thyroid tumor

作　　者：丁青薇[1] 孙宁[1] 孙国英[1] 王绍文[1] 

机构地区：[1]上海市宝山中心医院物理诊断科,201900

出　　处：《临床超声医学杂志》2005年第4期247-250,共4页Journal of Clinical Ultrasound in Medicine

摘　　要：目的探讨超声显像对甲状腺肿瘤鉴别诊断的价值。方法应用超声显像检测甲状腺肿瘤的声像图特征,并与手术病理诊断作对照。结果269例甲状腺肿瘤超声诊断与手术病理结果符合率为82.89%(223/269),其中甲状腺腺瘤的诊断符合率为87.93%(204/232),甲状腺癌的诊断符合率为51.35%(19/37)。结论超声显像对甲状腺良性肿瘤的诊断符合率较高,具有重要的诊断价值,对甲状腺癌的诊断缺乏有力的依据,对甲状腺微小癌的诊断有待于进一步研究。Objective To investigate the differential diagnostic value of uitrasonography for thyroid tumor. Methods The resuits of preoperative uitrasonography for thyroid tumor were compared with postoperative pathology. Results In the 269 cases , the coineident rate of ultrasound with pathology was 82.89% （223/269）. The coincident rate of ultrasound with pathology was 87.93%（204/232） for benigh tumor, while 51.35 % （19/37） for malignant tumor. Conclusion Ultrasonography shows important value in the diagnosis of thyroid benign tumor while provides little diagnostic value for thyroid cancer especially for minimum cancer.

关 键 词：超声显像 甲状腺肿瘤 病理基础 鉴别诊断价值 诊断价值 超声诊断 鉴别诊断 诊断符合率 甲状腺良性肿瘤 手术病理诊断 

分 类 号：R736.1[医药卫生—肿瘤] R735.7[医药卫生—临床医学]