甲状腺肿块临床鉴别诊断中B超的价值

周春喜1 ，冀小丽2

（1.西安铁路工程医院功能科，陕西 西安，710600；2.西安航天总医院超声医学科，陕西 西安，710600）

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摘要：

目的 分析B超诊断在甲状腺肿块鉴别中的价值。方法 选择本院经术后病理检查确诊的甲状腺肿块患者77例，均在术前应用B超鉴别诊断，并与病理检查结果比较，观察B超鉴别诊断的准确性。结果 B超诊断良性肿瘤诊断准确率为 59.7%，低于病理检查的71.4%（P<0.05）；B超诊断恶性肿瘤诊断准确率与病理检查差异不显著（P>0.05）。结论 临床鉴别诊断甲状腺肿瘤良恶性时，B超诊断恶性肿瘤的准确率较高，但良性肿瘤诊断准确率比较低，临床医师应结合多项检查予以确诊。

关键词：B 超诊断；甲状腺肿块；鉴别诊断

中图分类号：R455.1；R736.1文献标志码：A文章编号：2096-1413(2016)27-0151-02

The clinical diagnostic value of B ultrasound in thyroid nodules
ZHOU Chun-xi 1, JI Xiao-li 2
(1. Department of Function, Xi`an Railway Engineering Hospital, Xi`an 710600; 2. Department of Medical Ultrasonic, Xi`an Aerospace General Hospital, Xi`an 710600, China)

ABSTRACT: Objective To analyze the clinical diagnostic value of B ultrasound in thyroid nodules. Methods Seventy-seven cases of patients with thyroid nodules who were confirmed by pathological examination after operation were selected and diagnosed by B ultrasound before operation. The difference between pathological examination results and the accuracy of ultrasonic diagnosis was compared. Results The diagnostic accuracy of benign tumors by B ultrasound was 59.7%, which was lower than 71.4% of the pathological examination (P<0.05). There was no significant difference for diagnosis of malignant tumors between diagnostic accuracy of B ultrasound and pathological examination (P>0.05). Conclusion For
differential and diagnose benign or malignant of thyroid tumor in clinic, B ultrasound has good diagnostic accuracy of malignant tumors, and poor diagnostic accuracy of benign tumors. It is suggested that the clinicians should combine with multiple examination to confirm benign and malignant tumor.
KEYWORDS: B ultrasound; thyroid nodules; differential and diagnosis

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