【摘要】：目的 :通過分析誤診為甲狀腺癌病灶的超聲聲像圖特征,提高對甲狀腺良惡性結(jié)節(jié)的診斷準(zhǔn)確性,減少誤診率。方法:回顧性分析30例無臨床癥狀的術(shù)前誤診為甲狀腺癌患者的超聲聲像圖特征。結(jié)果:所有的病例均經(jīng)過手術(shù)切除后病理確診,誤診為甲狀腺癌的30例中,結(jié)節(jié)性甲狀腺腫17例,亞急性甲狀腺炎8例,橋本氏甲狀腺炎3例,甲亢2例。結(jié)論:誤診為甲狀腺癌的原因很多,當(dāng)超聲表現(xiàn)為實(shí)性低回聲或極低回聲、邊緣不光整等疑似甲狀腺癌征象時,應(yīng)提高警惕,綜合其病史及其他實(shí)驗(yàn)室檢查,減少誤診和不必要的手術(shù)。
[Abstract]:Objective: to improve the accuracy and reduce the misdiagnosis rate of benign and malignant thyroid nodules by analyzing the ultrasonographic features of thyroid carcinoma. Methods: the ultrasonographic features of 30 patients misdiagnosed as thyroid carcinoma before operation without clinical symptoms were analyzed retrospectively. Results: all cases were confirmed by pathology after resection. Among the 30 cases misdiagnosed as thyroid carcinoma, 17 cases were nodular goiter, 8 cases were subacute thyroiditis, 3 cases were Hashimoto's thyroiditis and 2 cases were hyperthyroidism. Conclusion: there are many reasons for misdiagnosis as thyroid carcinoma. When ultrasound shows solid hypoechoic or very low echo, edge is not only suspected of thyroid cancer signs, we should be on guard and synthesize its medical history and other laboratory examination. Reduce misdiagnosis and unnecessary surgery.
【作者單位】： 鄭州大學(xué)第一附屬醫(yī)院超聲診斷中心;
【分類號】：R445.1;R581

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