B超和同位素扫描检查对甲状腺结节疾病的诊断意义  

Diagnosis of ultrasonography and nuclide scan in thyroid nodules diseases

作　　者：张名霞[1] 杨治宇[1] 严波[1] 苏金菲[1] 曲秋懿[1] 刘勇刚[1] 张秋航[1] 

机构地区：[1]首都医科大学北京宣武医院耳鼻咽喉头颈外科,北京100053

出　　处：《中国实验诊断学》2007年第4期436-438,共3页Chinese Journal of Laboratory Diagnosis

摘　　要：目的探讨甲状腺结节疾病的B超检查和同位素显像检查的诊断意义。方法2005年全年我院收治的227例经手术治疗的甲状腺结节疾病患者,术前均行B超检查,随机选取其中151例患者术前行同位素扫描检查,对照手术后病理结果,回顾性分析B超检查和同位素显像的诊断意义。结果对比病理检查结果,结节性甲状腺肿、甲状腺腺瘤、桥本氏甲状腺炎、甲状腺癌的B超检查与病理诊断符合率,分别为:94%(168/179),90%(28/31),50%(1/2),20%(3/15)。同位素扫描结果:病理诊断为结节性甲状腺肿的112例患者中,冷结节26例、凉结节54例、温结节25例、热结节7例;病理诊断为甲状腺腺瘤的25例患者中,冷结节8例、凉结节16例、温结节1例;病理诊断为桥本氏甲状腺炎的2例患者中,冷结节1例、凉结节1例;病理诊断为甲状腺癌的12例患者中,冷结节9例、凉结节2例、温结节1例。结论B超检查在鉴别甲状腺结节疾病的单多发性、良恶性、囊实性时,意义较大,可作为筛选甲状腺肿物的重要手段,并可指导手术方案的选择。同位素扫描缺少特异性和准确性,需和病史、体检、B超显像检查相结合。Objective To analyze imaging characteristics of ultrasonography and nuclide scan in diagnosis of thyroid nodules. Methods The comparison was pefformed with the results of ultrasonography and radionuelide imaging and pathology in 997 thyroid nodule patients.Results The accuracy of ultrasonngraphy for diagnose in nodular goiter was 94%（168/179） ,the accuracy for diagnosing thyroid adenoma was 90% （28/31） ,the accuracy for diagnosing Hashimoto＇ s thyroidits was 50% （1/2） ,the accuracy for diagnosing thyroid carcinoma was 20%（3/15） ;Results of nuclide scan：In 112 cases of nodular goiter,cold nodules were 26 cases,cool nodules were 54 eases,warm nodules were 25 eases, hot nodules were 7 eases;In 25 eases of thyroid adenoma, cold nodules were 8 cases, cool nodules were 16 eases, warm nodule was 1 case;In 2 eases of Hashimoto＇s thyreidits,cold nodule was 1 case,cool nodule was 1 case;In 12 cases of thyroid carcinoma,cold nodules were 9 eases,cool nodules were 2 cases, warm nodule was 1 case. Conclusion Ultrasonography is important to identify thyroid nodules; ultrasonography should be used as the primary screening method.Nuclide scan is short of specificity and accuracy in diagnosing thyroid nodule.

关 键 词：甲状腺结节 B超显像 同位素扫描 诊断意义 

分 类 号：R581[医药卫生—内分泌]