老年人甲状腺结节鉴别诊断超声检查的价值  

The application value of ultrasonography in the differential diagnosis of benign and malignant thyroid nodules in the elderly

作　　者：李玉平[1] 郑永财[2] 王红春[1] 

机构地区：[1]北京老年医院超声科,100095 [2]北京市顺义区医院超声科

出　　处：《中华老年医学杂志》2015年第7期793-795,共3页Chinese Journal of Geriatrics

摘　　要：目的探讨超声在诊断老年人甲状腺结节良恶性的意义，为甲状腺结节的定性诊断提供可靠依据。方法回顾性分析2013年1月至2015年2月在我院经手术病理证实的117例老年人甲状腺结节患者的超声资料，总结其声像图特征。结果117例老年人患者中，病理诊断甲状腺结节良性病变82例（70．1％），甲状腺结节恶性病变35例（29．9％），超声诊断甲状腺结节良恶性的符合率88．0％，误诊14例。结论超声检查对老年人甲状腺结节良恶性诊断具有良好的应用价值。Objective To investigate the application value of ultrasonography in the differential diagnosis of benign and malignant thyroid nodules in the elderly. Methods The ultrasonography data of 117 elderly patients with thyroid nodules confirmed by surgery and pathology were analyzed retrospectively from Jan. 2013 to Feb. 2015. Their sonogram features were summarized. Results Among 117 cases, there were 82 cases （70. 1%） with benign thyroid nodules and 35 cases （29.9%） with malignant thyroid tumors according to pathological diagnosis. The accordance rate of ultrasonography for diagnosing the benign and malignant thyroid nodules was 88.0%, and only 14 cases were misdiagnosed. Conclusions Uhrasonography has a good application value in the differential diagnosis of benign and malignant thyroid nodules in the elderly.

关 键 词：甲状腺结节 甲状腺肿瘤 超声检查 

分 类 号：R581[医药卫生—内分泌] R445.1[医药卫生—内科学]