甲状腺肿块B超声像图与病理诊断对照分析(附123例报告)  

A COMPARATIVE ANALYSIS TYPE B ULTRASONIC ECHOGRAM AND PATHOLOGIC DIAGNOSIS OF THYROID TUMOR IN 123 CASES

作　　者：王献华[1] 孙瑞军[1] 荣玲[1] 杨方[1] 张玉强[1] 曹元荣[2] 于淑君[2] 

机构地区：[1]华北煤炭医学院病理教研室,063000 [2]华北煤炭医学院附属医院超声科

出　　处：《中国煤炭工业医学杂志》1998年第4期362-363,共2页Chinese Journal of Coal Industry Medicine

摘　　要：目的探讨B超诊断甲状腺肿块的价值。方法对123例经B起检查的甲状腺肿块声像图与病理进行对照分析。结果B超诊断与大体标本符合率为93．5％,与镜检病理诊断符合率为87．8％。结论可根据B超下肿块的形态、数目、内部回声综合分析，提示有关疾病；超声图像尚不能分辨大体形态类似肿块的微细差异；有包膜的肿瘤不能完全排除甲状腺恶性肿瘤的可能，而包膜回声或晕征并非甲状腺腺瘤的绝对征象。To investigate the value of type B ultrasonic technique on diagnosis of thyroid tumor.Method A comparative analysis was performed between type B ultrasonic echogram and pathologic diagnosis in 123 patients. Result The corresponding rate was 93. 5% between ultrasonic diagnosis and observation of gross specimens and 87. 8% between ultrasonic diagnosis and microscopic examination. Conclusion Type B ultrasonic technique can suggest correlative diseases through a synthetic analysis of the shape, number and internal echo of tumor. Slight difference of some similar tumors in gross shape can hardly be distinguished through ultrasonicgram. The possibility of malignant tumor can not be completely excluded for the thyroid tumor encapsulated, and the echo of capsule as well as halo sign are not absolutely symptoms of adenoma of thyroid.

关 键 词：甲状腺肿块 病理诊断 B超 甲状腺肿瘤 甲状腺肿 

分 类 号：R736.104[医药卫生—肿瘤] R581.304[医药卫生—临床医学]