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目的:探讨超声诊断微钙化与桥本甲状腺炎合并乳头状癌的相关性。方法:选择在我院接受诊治的桥本甲状腺炎结节187例,着重分析超声诊断结节内钙化类型与病理结果的关系。结果:超声诊断结节内微钙化62例(33.2%),斑块钙化95例(50.8%),弧形钙化30例(16.0%);微钙化结节中桥本甲状腺炎合并乳头状癌占66.1%,非常显著高于斑块钙化结节中的9.5%和弧形钙化结节中的16.7%(P<0.01)。结论:超声诊断微钙化对桥本甲状腺炎合并乳头状癌具有较高的鉴别诊断价值。
Objective: To investigate the correlation between ultrasonic diagnosis of microcalcifications and Hashimoto’s thyroiditis complicated with papillary carcinoma. Methods: A total of 187 Hashimoto’s thyroiditis patients undergoing diagnosis and treatment in our hospital were selected. The relationship between the type of calcification and the pathological findings was analyzed emphatically. Results: There were 62 cases (33.2%) of micro-calcifications in nodules, 95 cases (50.8%) of plaque calcifications and 30 cases of arcuate calcifications (16.0%) in ultrasound diagnosis. Hashimoto’s thyroiditis 66.1%, significantly higher than 9.5% in plaque calcification nodules and 16.7% in arc calcification nodules (P <0.01). Conclusion: Ultrasound diagnosis of microcalcifications has a high differential diagnostic value in Hashimoto’s thyroiditis with papillary carcinoma.