Tuberous Strumous Signs And Pathology Of Ultrasound Contrast Analysis

Objective:Through the study of gas gall and ultrasonic after excision of the correlation of pathological types, aiming to explore the sonographic features and pathological stage, in order to guide the correlation of treatment, early prevention thyroid bump evil change. Methods:Collect TCM diagnosis, western medicine diagnosis for gas gall for tuberous strumous 41 cases of patients, all lines surgical resection with thyroid bump, according to microscope histopathological performance, statistical analysis of nodular strumous pathological results, clarify pathologic types and other factors of relevancy. Results:41 patients total 74 nodular lesions, the smallest size is 0.5 cm x nodular 0.5 cm. Cm x 6.0 attributes 5.0 cm x cm, average 2.0 160 cm. Including cystic nodule 23, ultrasonic manifestations is kind of circular no echo area, boundary clear, 8 of them nodule of no echo area visible thin with pathological contrast glowing echo: cystic part, mainly for necrosis, bleeding and cystic changes area. Capsule real mixed nodules 43. Sonography. Includes compaction hybrid echo capsule without echo, low echo, isoechoic and strong echo, five of them without echo of the nodule protruding, can be seen in the papillary with pathological controls. Papillary bulge for adenomatoid hyperplasia nodules. Solid nodules 8, sonography isoechoic 1, low echo 3. Strong echo 4, pathological performance for mixed nodules and adenomatoid hyperplasia nodules. 20 microglial nodule scattered or patchy strong flare, pathological diagnosis companion hair calcification. Color doppler performance: the 74 a knot in a nodules, 39 (53%) internal not explore and blood flow (O level); 20 (27%) only explore and star pointlike level-i); blood ( 9 (12%) about pointlike level short clavite blood flow (level II); Only 6 (8%) shows rich flow signal (III). Conclusion:The echo of the nodular strumous types and of neuropathology stage closely related. Two-dimensional ultrasound and color doppler ultrasound can reflect tuberous strumous the pathological characteristic of the consistency of correctly understanding both can help us make the correct diagnosis.