甲状腺腺体散在点状强回声的超声征象与病理学特征关系的探讨  

Study of ultrasound and pathology of thyroid disease with scattered hyperechoic foci

作　　者：罗志京 薛恩生[1,2] 林文金 何以敉[1,2] 钱清富 俞悦[1,2] LUO Zhijing;XUE Ensheng;LIN Wenjin;HE Yimi;QIAN Qingfu;YU Yue(Department of Ultrasound,Fujian Medical University Union Hospital,Fuzhou 350001,Fujian Province,China;Fujian Provincial Institute of Ultrasonic Medicine,Fuzhou 350001,Fujian Province,China)

机构地区：[1]福建医科大学附属协和医院超声科,福建福州350001 [2]福建省超声医学研究所,福建福州350001

出　　处：《肿瘤影像学》2020年第6期541-546,共6页Oncoradiology

基　　金：福建省科技计划项目(2014Y0026)。

摘　　要：目的:探讨甲状腺腺体内散在点状强回声的超声征象与病理学特征的关系。方法:回顾并对照分析41例声像图为点状强回声、无结节的甲状腺疾病和15例声像图无点状强回声、无结节的桥本甲状腺炎及相应的病理学特征。结果:10例伴点状强回声的桥本甲状腺炎病理学改变以纤维增生为主,15例不伴点状强回声桥本甲状腺炎病理学改变以淋巴细胞浸润为主,纤维轻度增生。31例弥漫性硬化型乳头状癌病理学改变以砂粒体为主,亦见不规则钙化、胶质凝集体等。伴点状强回声的桥本甲状腺炎、弥漫性硬化型乳头状癌在病理学改变中的纤维增生(χ2=10.146,P=0.001)、胶质凝集(χ2=4.603,P=0.032)与砂粒体(χ2=35.757,P=0.000)的差异有统计学意义。结论:砂粒体、胶质凝集体、纤维索、营养不良性钙化等均可形成甲状腺声像图上的点状强回声,在检查过程中应注意识别其成因。Objective:To analysis the relationship between ultrasonographic features and pathology of thyroid disease with scattered hyperechoic foci.Methods:The ultrasonographic features and pathology were retrospectively analyzed in 41 cases of thyroid disease with hyperechoic foci and 15 cases of thyroid disease without hyperechoic foci.Results:The pathological changes of 10 Hashimoto’s thyroiditis cases with hyperechoic foci were mainly fibrous hyperplasia and 15 Hashimoto’s thyroiditis cases without hyperechoic foci were mainly lymphocyte infiltration accompanied by mild fibrous hyperplasia.The pathological changes of 31 diffuse sclerosing thyroid papillary carcinoma cases were mainly psammoma bodies,and dystrophic calcification as well as colloid also can be seen.Conclusion:The appearance of thyroid’s hyperechoic foci on B-ultrasound can be caused by psammoma bodies,colloid,fiber and dystrophic calcification and so on.Thus,we should pay attention to identifying the cause of the hyperechoic foci in the course of thyroid inspection.

关 键 词：超声 甲状腺疾病 砂粒体 淋巴结 反应性增生 

分 类 号：R736.1[医药卫生—肿瘤] R445.1[医药卫生—临床医学]