甲状腺结节性疾病超声弹性成像误诊原因分析

摘要

Objective To evaluate the causes and countermeasures of ultrasound elastography(UE) in misdiagno sis thyroid nodules disease. Methods Two hundred and forty-four patients with 291 nodules were examined with UE.Pathologic outcome was used as the golden diagnosis criterion to analysis the causes of misdiagnosis. Results Thirtyfour benign nodules were misdiagnosed as malignant and seven malignant nodules were misdiagnosed as be nign. Conclusions To strictly master the imaging principle,examination methods and indications of ultrasound elastography,and pathological features of benign and malignant will be useful in increasing the UE diagnosis rate of thyroid nodules.%目的 探讨超声弹性成像对甲状腺结节性疾病误诊原因及对策.方法 对244例患者共291个结节进行了超声弹性成像检查,以手术病理为金标准,对超声弹性成像误诊的原因进行分析.结果 34个良性病灶误诊为恶性,7个恶性病灶误诊为良性.结论 正确掌握超声弹性成像原理和检查方法以及良恶性结节病理特征、严格掌握超声弹性检查适应证将有助于提高超声弹性成像诊断甲状腺结节良恶性的正确率.