超声对单发性结节性甲状腺肿与甲状腺腺瘤的鉴别诊断价值  

Differential Diagnostic Value of Ultrasonography Between Solitary Nodular Goiter and Thyroid Adenoma

作　　者：张宇虹[1] 夏稻子[1] 刘颖[1] 林萍[1] 高林[1] 礼广森[1] 祁志良[1] 李本葵[1] 张文华[1] 由悦[1] 

机构地区：[1]大连医科大学附属第二医院超声诊断科,大连市116023

出　　处：《中国超声医学杂志》2001年第4期292-294,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：目的 :探讨超声对单发性结节性甲状腺肿与甲状腺腺瘤的鉴别诊断价值。方法 :分析并比较 34例单发结节结节性甲状腺肿与 30例甲状腺腺瘤的二维及彩色多普勒超声声像图。结果 :34例单发结节结节性甲状腺肿与30例腺瘤比较 ,甲状腺大小、结节大小、结节内回声及周围回声均无显著性差异 ( P>0 .0 5 ) ;结节边缘晕环及结节内部和周边血流信号具有显著性差异 ( P<0 .0 5 )。结论 :单发结节结节性甲状腺肿较易误诊为腺瘤 。Objective:To discuss the differential diagnostic value of ultrasonography between solitary nodular goiter and thyroid adenoma.Methods:The 2 DE and CDFI ultrasound images of 34 cases with solitary nodular goiter and 30 cases with thyroid adenoma were analysed and compared.Results:There were no significant differences in the sizes of thyroid glands and nodules,nor were the intranodular and perinodular echoes between the group of nodular goiter and adenoma( P >0 05).There were significant differences in the 'halo' sign and intranodular and perinodular blood flow ( P <0 05)between the two groups.Conclusions:Solitary nodular goiters are often easily misdiagnosed as adenoma.The 'halo' sign and intranodular and perinodular blood flow may be helpful for differential diagnosis.

关 键 词：超声显像 结节性甲状腺肿 甲状腺腺瘤 鉴别诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学]