甲状腺结节的超声诊断及图像分析

摘要

Objective:To analyze the effectiveness and accuracy rate of ultrasonic diagnosis on thyroid nodules,providing an evidence for the clinical diagnosis of thyroid diseases.Method:Eighty-six cases of patients with thyroid nodule diagnosis in our hospital from January 2015 to January 2016 were received ultrasound diagnosis,then the results were pathological verified by clinical review or surgery.Result:The number of thyroid nodules through ultrasound diagnosis were different types of 72 cases of benign diagnosis,17 cases of thyroid tumors,15 cases of cysts, 33 cases of nodular goiter,7 cases of calcified nodules, 14 cases of malignant,7 cases of follicular carcinoma, 2 cases of mucoepidermoid carcinoma,5 cases of papillary adenocarcinoma,in which the pathology confirmed 71 cases of benign diagnosis,14 cases of thyroid tumors,16 cases of cysts,33 cases of nodular goiter,8 cases of calcified nodules,15 cases of malignant,7 cases of follicular adenocarcinoma,2 cases of mucoepidermoid carcinoma,and 6 cases of papillary adenocarcinoma.The accuracy of ultrasound diagnosis in the 86 patients was 93.02%,a total of 6 cases of misdiagnosis,which included 3 cases(3.49%) of thyroid tumor,1 case(1.16%) of cyst,1 case (1.16%) of calcified nodules,and 1 case (1.16%) of papillary adenocarcinoma.Conclusion:Ultrasound diagnosis can accurately identify the thyroid nodules with the correct rate over 90%.It is of great significance for the discriminating of benign and malignant thyroid nodules and post-treatment.%目的：分析甲状腺结节的超声诊断的有效性及准确率，为临床上超声诊断甲状腺疾病提供依据。方法：选取本院2015年1月-2016年1月收治的86例已被确诊为甲状腺结节的患者进行超声诊断，后经过临床复查或者手术进行病理验证。结果：超声诊断下不同类型的甲状腺结节的诊断数分别为良性为72例，甲状腺瘤17例、囊肿15例、结节性甲状腺肿33例、钙化结节7例，诊断出恶性患者14例，滤泡型腺癌7例、黏液表皮样癌2例、乳头状腺癌5例；病理证实良性为71例，甲状腺瘤14例、囊肿16例、结节性甲状腺肿33例、钙化结节8例，诊断出恶性患者15例，滤泡型腺癌7例、黏液表皮样癌2例、乳头状腺癌6例；86例患者超声诊断的准确性为93.02%，共有6例误诊，不同类型的甲状腺结节的误诊数分别为3例(3.49%)甲状腺瘤、1例囊肿(1.16%)、1例(1.16%)钙化结节、1例(1.16%)乳头状腺癌。结论：超声诊断可以准确的识别甲状腺结节性质，正确率达到90%以上，该方法对于甲状腺结节良恶性的辨别和后期治疗具有重要的意义。