甲状腺实性结节的彩超鉴别诊断

摘要

目的：探讨彩超在甲状腺结节良恶性鉴别中的应用价值。方法：应用彩超对130例手术治疗的甲状腺结节患者的结节情况进行回顾分析，并与病理结果对比，以得出恶性结节的超声表现。结果：130例（148个结节）中良性结节96个，彩超诊断100个；恶性结节52个，彩超诊断48个。彩超对甲状腺良恶性结节鉴别的灵敏性为89.66%，特异性为97.96%。结论：彩超对甲状腺结节良恶性的鉴别有重要的临床价值。%Objective To evaluate the value of the color Doppler ultrasound in differentiating benign and malignant thyroid nodule. Methods 130 cases of surgical treatment of patients with thyroid nodules were retrospective analysis by the color Doppler ultrasound,and compared with pathological results,to draw the sonographic appearances of the malignant nodules. Results Pathological results of 96 nod-ules were benign in 130 patients(148 nodules),the color Doppler ultrasound examination resule showed 100 with benign nodules;Patho-logical results of 52 nodules were malignant nodules,the color Doppler ultrasound resule for 48 nodules of malignant nodules. The sensitivi-ty,specificity of the color Doppler ultrasound in differentiating benign and malignant thyroid nodule was 89. 66%,97. 96%. Conclusion the color Doppler ultrasound is a valuable method in differentiating benign and malignant thyroid nodule.