超声诊断甲状腺疾病错误原因分析  

Analysis of misdiagnosed thyroid nodules on ultrasonography

作　　者：王枫钊[1] 

机构地区：[1]上海交通大学附属瑞金医院超声诊断科,200135

出　　处：《上海医学影像》2008年第1期48-50,共3页Shanghai Medical Imaging

摘　　要：目的探讨超声错误诊断甲状腺结节性病灶的原因。方法分析42例被超声漏诊和误诊的病例。结果漏诊的13例患者中,甲状腺癌9例,甲状腺腺瘤3例,结节性甲状腺肿1例。误诊的29例患者中,甲状腺癌10例,结节性甲状腺肿9例,甲状腺腺瘤8例,桥本氏甲状腺炎2例。结论应该注意到一些甲状腺疾病可以并存的事实,结节内钙化灶和血流RI值的检测对甲状腺疾病的诊断有重要的临床意义。Objective To discuss the factors leading to misdiagnosis of thyroid nodules on ultrasonography. Methods Fourty-two cases of misdiagnosed thyroid nodules by ultrasonography were analysed. Results There were 13 cases with thyroid nodules missed by ultrasonography. There were 9 cases of thyroid cancer, 3 cases of adenoma and 1 case of nodular goiter. In 29 cases of misdiagnosed thyroid nodules,there were 10 cases of thyroid carcer, 9 cases of nodular goiter, 8 cases of adenoma, and 2 cases of Hashimoto disease. Conclutions It should be noticed that several thyroid diseases can coexist in the same thyroid. It is helpful in the diagnosis of thyroid nodules to detect microcalcification and intranodular blood flow signals on uhrasonography clinically.

关 键 词：甲状腺结节 超声检查 误诊 

分 类 号：R581[医药卫生—内分泌] R445.1[医药卫生—内科学]