单发结节性甲状腺肿29例误诊为甲状腺腺瘤的回顾分析  

Retrospective analysis on 29 cases of solitary nodular goiter misdiagnosed as thyroid adenoma

作　　者：陈勇辉[1] 罗毅[1] 李志林[1] 曾丽娟[1] 杨慧燕[1] 

机构地区：[1]惠州市中心人民医院B超室,广东惠州516001

出　　处：《临床和实验医学杂志》2009年第11期63-64,共2页Journal of Clinical and Experimental Medicine

摘　　要：目的探讨单发结节性甲状腺肿的声像图特征,并对其误诊病例进行分析,提高彩色多普勒对单发结节性甲状腺肿与甲状腺腺瘤的鉴别水平,以提高诊断符合率。方法回顾分析27例超声诊断为甲状腺腺瘤,病理证实为单发结节性甲状腺肿的声像图特征。结果单发结节性甲状腺肿与甲状腺腺瘤在结节的大小、内部回声与周围组织回声等均无显著差异;结节边缘晕环、血流的形态及分布均有显著差异。结论单发结节性甲状腺肿和甲状腺腺瘤两者的病理基础不同,构成了超声图像上的不同特征,可作为两病的超声鉴别诊断要点。Objective To identify the ultrasonographic characteristics of solitary nodular goiter and to analyze reasons for its misdiagnosis,and to raise the level for its differential diagnosis with thyroid adenoma.Methods The characteristics of 27 cases misdiagnosed as thyroid adenoma by ultrasonography and confirmed as solitary nodular goiter by pathological examination were retrospectively analyzed.Results There was no significant difference in diameter,echo of inner lesions and peripheral tissues.There were significant differences in peri-nodular halo,morphological features and distribution of peripheral blood flow.Conclusion The pathologic basis of solitary nodular goiter and thyroid adenoma are different,so they have their own ultrasonographic characteristics.Therefore we can make differential diagnosis between these two diseases by ultrasonography.

关 键 词：单发结节性甲状腺肿 甲状腺腺瘤 超声 鉴别诊断 

分 类 号：R653[医药卫生—外科学]