甲状腺超声怎么看？超全解读！

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                    <p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 18px; box-sizing: border-box !important; word-wrap: break-word !important;">一、&nbsp;结节部位</span></strong><span style="max-width: 100%; font-size: 18px; box-sizing: border-box !important; word-wrap: break-word !important;">　　</span></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">左上、左中、左下、峡部、右上、右中、右下</span><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><img data-s="300,640" data-type="jpeg" src="http://mmbiz.qpic.cn/mmbiz_jpg/dx3KibwtDhvfBzA9fYuWtR7yLqNiav9w7KE87XsC6kk25kCLoAQl7dd6AxibrfhcpCLHicdFk1olMUKsTqKxY8iaQqw/0?wx_fmt=jpeg" data-ratio="1.2505643340857788" data-w="443"  /><br  />举例：</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><img data-s="300,640" data-type="jpeg" src="http://mmbiz.qpic.cn/mmbiz_jpg/dx3KibwtDhvfBzA9fYuWtR7yLqNiav9w7KS8EEh3czJymSFntcHOhDdx5DZnayEYRpr1T0h4up035xpvc1KRXVWQ/0?wx_fmt=jpeg" data-ratio="0.618510158013544" data-w="443"  /><br  /></span><span style="max-width: 100%; font-size: 18px; line-height: 1.6; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">描述：左侧甲状腺（中上/背/肋）中上背侧面　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 18px; box-sizing: border-box !important; word-wrap: break-word !important;">二、&nbsp;结节数目</span></strong><span style="max-width: 100%; font-size: 18px; box-sizing: border-box !important; word-wrap: break-word !important;">　　</span></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">甲状腺腺体内被超声所能检出的结节个数。　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">1.分类：单发/多发　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">2.临床意义：　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">多发——结节性甲状腺肿，甲状腺癌　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">单发——甲状腺腺瘤，甲状腺癌　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 18px; box-sizing: border-box !important; word-wrap: break-word !important;">4</span><span style="max-width: 100%; font-size: 18px; line-height: 1.6; box-sizing: border-box !important; word-wrap: break-word !important;">8%的甲状腺乳头状癌（PTC）发生在多发性结节性甲状腺肿背景中；单发和多发结节患甲状腺癌的概率相似。</span></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">目前强调超声检查时应对每个结节的超声特征单独进行分析，以甄别多发结节中的恶性结节。　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 18px; box-sizing: border-box !important; word-wrap: break-word !important;">三、&nbsp;结节大小</span></strong><span style="max-width: 100%; font-size: 18px; box-sizing: border-box !important; word-wrap: break-word !important;">　　</span></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">上下径、左右径和前后径，一般在纵断面进行测量&nbsp;。以上径线应包括结节的声晕。　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">1、临床意义：</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">结节纵横比（A/T）：在横切面上计算A/T　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">●&nbsp;纵径（A）是指结节与皮肤垂直的最大前后径。　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">●&nbsp;横径（T）是指结节与皮肤平行的最大径。　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">●&nbsp;A/T≥1：&nbsp;多见于恶性结节&nbsp;A/T&nbsp;&lt;1：&nbsp;多见于良性结节。　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">2、随访　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">●&nbsp;结节3~6个月随访前后比较，径线增大大于20%，其中两径至少均大于&nbsp;2mm&nbsp;，或容积≥50％为结节增大。　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">●&nbsp;良恶性结节均可增大。恶性结节快速增大见于未分化癌、淋巴瘤、高级别甲状腺癌等。良性结节增大多见于结节出血囊变、腺瘤等。　　3、甲状腺癌分类和处理：　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">●&nbsp;甲状腺微小乳头状癌（PTMC）：≤1cm的甲状腺乳头状癌，其生物学行为、临床治疗措施存在一定特殊性。　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">●&nbsp;甲状腺癌大小不同，临床治疗措施也不相同。　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">结节是否恶性与结节大小无关。小结节同大结节一样具有恶性可能性。　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 18px; box-sizing: border-box !important; word-wrap: break-word !important;">四、结节形态　</span></strong><span style="max-width: 100%; font-size: 18px; box-sizing: border-box !important; word-wrap: break-word !important;">　</span></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">1、分类：　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">椭圆形或圆形：&nbsp;A/T&nbsp;≤1　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">直立状：&nbsp;A/T&gt;1　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">不规则形　　</span><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><img data-s="300,640" data-type="jpeg" src="http://mmbiz.qpic.cn/mmbiz_jpg/dx3KibwtDhvfBzA9fYuWtR7yLqNiav9w7KkgKvlNR0SGTxeic4EN4v3BBOvdnGuII2ypUvrfg0THHkp2Ppbibbm0Pg/0?wx_fmt=jpeg" data-ratio="0.51" data-w="600"  /><br  />2、临床意义：　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">椭圆形或圆形：多见于良性结节，部分恶性结节。　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">直立状：多见于恶性结节&nbsp;，部分良性结节。　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">不规则形：多见于恶性结节，局灶性甲状腺炎，部分良性结节。　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 18px; box-sizing: border-box !important; word-wrap: break-word !important;">五、&nbsp;结节边界</span></strong><span style="max-width: 100%; font-size: 18px; box-sizing: border-box !important; word-wrap: break-word !important;">　　</span></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">1.分类：　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">●清晰：结节的50%以上和周围甲状腺实质分界明确。</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; text-align: center; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><img data-s="300,640" data-type="jpeg" src="http://mmbiz.qpic.cn/mmbiz_jpg/dx3KibwtDhvfBzA9fYuWtR7yLqNiav9w7K4NWrYHBLFcVbmppSBuTDE7ia1SA7iau5msSnzZjn2eDXichJgARuZm6mA/0?wx_fmt=jpeg" data-ratio="0.6176470588235294" data-w="340"  /><br  /></span><span style="max-width: 100%; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">边界清晰</span><span style="max-width: 100%; font-size: 18px; line-height: 1.6; box-sizing: border-box !important; word-wrap: break-word !important;">　</span></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">●&nbsp;模糊：结节的50%以上和周围甲状腺实质分界不明确。</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; text-align: center; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><img data-s="300,640" data-type="jpeg" src="http://mmbiz.qpic.cn/mmbiz_jpg/dx3KibwtDhvfBzA9fYuWtR7yLqNiav9w7KicKDuzu0x0IroOw3242NIrYcdSXjxLLLtaaKjicNCmVJK23sibsS6m5Rg/0?wx_fmt=jpeg" data-ratio="0.6176470588235294" data-w="340"  /><br  /></span><span style="max-width: 100%; font-size: 14px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">边界模糊</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">2.临床意义：　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">●&nbsp;边界清晰：多见于良性结节，部分恶性结节（包裹型PTC，髓样癌）。　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">●&nbsp;边界模糊：多见于恶性结节，部分良性结节，亚甲炎。　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 18px; box-sizing: border-box !important; word-wrap: break-word !important;">六、&nbsp;结节边</span></strong><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 18px; box-sizing: border-box !important; word-wrap: break-word !important;">缘：近边界的结节区域</span></strong><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 18px; box-sizing: border-box !important; word-wrap: break-word !important;"></span></strong><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"></strong><span style="max-width: 100%; font-size: 18px; box-sizing: border-box !important; word-wrap: break-word !important;">　</span></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><img data-s="300,640" data-type="png" src="http://mmbiz.qpic.cn/mmbiz_png/dx3KibwtDhvfBzA9fYuWtR7yLqNiav9w7K5TRzeWt6IqF25S7qJ0gkcJhFygFm3PzxgojB9vicJPVyawEghTJR8Jg/0?wx_fmt=png" data-ratio="0.6033653846153846" data-w="416"  /><br  />（分清边缘和边界的概念）　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">1.分类：</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">光整：结节与周围甲状腺实质交界面光滑完整。　　</span><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><img data-s="300,640" data-type="jpeg" src="http://mmbiz.qpic.cn/mmbiz_jpg/dx3KibwtDhvfBzA9fYuWtR7yLqNiav9w7KDRoBNMzVKjMerEA7Z0gSlqXgLS6uOpLDZtpXAA4kX575nOef7tuLXw/0?wx_fmt=jpeg" data-ratio="0.29" data-w="600"  /><br  />不光整：结节与周围甲状腺实质交界面出现成角或微小分叶样结构。　<img data-s="300,640" data-type="jpeg" src="http://mmbiz.qpic.cn/mmbiz_jpg/dx3KibwtDhvfBzA9fYuWtR7yLqNiav9w7KDrzQLkQjiaJsyX0ZDbDz4hWP6vuCHJXqN4M9Im3kuRbLyXGWhjp2Xkw/0?wx_fmt=jpeg" data-ratio="0.29" data-w="600"  /><br  />边缘成角：边缘出现小于90度的较小成角边缘。<br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  />微小分叶：为在结节的边缘出现一些小的分叶。<br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  />2.临床意义：<br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  />边缘光整：多见于良性结节，部分恶性结节。<br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  />边缘不光整：多见于恶性结节，部分良性结节。<br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 18px; box-sizing: border-box !important; word-wrap: break-word !important;">七、&nbsp;结节内部结构　</span></strong><span style="max-width: 100%; font-size: 18px; box-sizing: border-box !important; word-wrap: break-word !important;">　</span></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">1.分类：　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">（1）实性结节：结节内全部成分为实性。</span><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; text-align: center; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><img data-s="300,640" data-type="jpeg" src="http://mmbiz.qpic.cn/mmbiz_jpg/dx3KibwtDhvfBzA9fYuWtR7yLqNiav9w7KudhRpvB7RsIIJb8f91JaHNrId2jxgSkjuLBD8ldhicsDEGmQf8IKQrw/0?wx_fmt=jpeg" data-ratio="0.8298969072164949" data-w="194"  /><br  />　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">（2）囊性：结节内全部成分为囊性。</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; text-align: center; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">　　<img data-s="300,640" data-type="jpeg" src="http://mmbiz.qpic.cn/mmbiz_jpg/dx3KibwtDhvfBzA9fYuWtR7yLqNiav9w7KtkYpaCP4XCR1Ag4iaRmVDmUgGPmLIB3pfJhu3e6XibzRNeL1pP95reibQ/0?wx_fmt=jpeg" data-ratio="0.8741496598639455" data-w="294"  /><br  /><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">胶质囊肿　</span>　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">（3）混合性：结节内既有实性成分，又有囊性成分。　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">●&nbsp;实性为主型：实性成分&gt;50%</span><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; text-align: center; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><img data-s="300,640" data-type="jpeg" src="http://mmbiz.qpic.cn/mmbiz_jpg/dx3KibwtDhvfBzA9fYuWtR7yLqNiav9w7KCDAAs4EZ7YlS08pAHrelwic0fiaYkbIWu0fPkRof5dR1Kt803icibvOzAw/0?wx_fmt=jpeg" data-ratio="0.9180327868852459" data-w="244"  /><br  /></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">●&nbsp;囊性为主型：囊性成分&gt;50%</span><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; text-align: center; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><img data-s="300,640" data-type="jpeg" src="http://mmbiz.qpic.cn/mmbiz_jpg/dx3KibwtDhvfBzA9fYuWtR7yLqNiav9w7K3icRN16lmghLQOCcpmhqKxCmib8xptZUJ0FgXggu9D0FYoQvB3XCMDwA/0?wx_fmt=jpeg" data-ratio="0.7642276422764228" data-w="246"  /><br  /><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">囊性为主，实性部分为海绵状　</span></span></p><p style="max-width: 100%; min-height: 1em; line-height: 25.6px; text-align: center; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><br  /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">●&nbsp;海绵状结节：结节体积内50%以上出现多个微小囊状结构聚集,其间含有纤细分隔，呈强回声，横断面有时似微钙化。</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; text-align: center; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><img data-s="300,640" data-type="jpeg" src="http://mmbiz.qpic.cn/mmbiz_jpg/dx3KibwtDhvfBzA9fYuWtR7yLqNiav9w7KUPtWxGiaBUc9hr8AVAAHUDBczGibFQolPP4qsB8yBRHxJFBEj5kxDaYQ/0?wx_fmt=jpeg" data-ratio="0.7857142857142857" data-w="280"  /><br  /></span><span style="max-width: 100%; font-size: 18px; text-align: left; line-height: 1.6; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">　<span style="max-width: 100%; line-height: 1.6; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">　海绵状结节　</span>　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 18px; line-height: 1.6; box-sizing: border-box !important; word-wrap: break-word !important;">2.临床意义：</span><span style="max-width: 100%; font-size: 18px; box-sizing: border-box !important; word-wrap: break-word !important;"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></span></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 18px; box-sizing: border-box !important; word-wrap: break-word !important;">恶性结节：实性（80%），混合性以实性为主，13-26%的恶性结节内有囊性成分。<br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></span><span style="max-width: 100%; font-size: 18px; line-height: 1.6; box-sizing: border-box !important; word-wrap: break-word !important;">良性结节：实性（47%）、囊性、混合性以囊性为主、海绵状结节。</span><span style="max-width: 100%; font-size: 18px; box-sizing: border-box !important; word-wrap: break-word !important;"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></span></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; line-height: 1.6; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">海绵状结节多为良性结节，诊断特异性99.7%-100%。<br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 18px; box-sizing: border-box !important; word-wrap: break-word !important;">八、结节回声水平　　</span></strong><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 18px; box-sizing: border-box !important; word-wrap: break-word !important;"></span></strong></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">1.分类　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">分为高、等、低、极低和无回声。高、等、低回声：根据结节与周围甲状腺或颌下腺实质回声相比，结节内回声分布不均时，以结节内占优势的回声类型为主。</span><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; text-align: center; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 14px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><img data-s="300,640" data-type="jpeg" src="http://mmbiz.qpic.cn/mmbiz_jpg/dx3KibwtDhvfBzA9fYuWtR7yLqNiav9w7KIkeHD7miawIleud0UK1Ool5Ht9DcibqKSdw7FaYYqRKlcDJoNhZicLiaiaw/0?wx_fmt=jpeg" data-ratio="0.68561872909699" data-w="299"  /><br  />等回声</span><span style="max-width: 100%; font-size: 14px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; text-align: center; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 14px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><img data-s="300,640" data-type="jpeg" src="http://mmbiz.qpic.cn/mmbiz_jpg/dx3KibwtDhvfBzA9fYuWtR7yLqNiav9w7KU8db28qQ4oM2RPhSw1JdR5Sqtrxh7dECPdDCgjTXiaCDlGLwIFnkXQg/0?wx_fmt=jpeg" data-ratio="0.68561872909699" data-w="299"  /><br  />低回声</span><span style="max-width: 100%; font-size: 14px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; text-align: center; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 14px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><img data-s="300,640" data-type="jpeg" src="http://mmbiz.qpic.cn/mmbiz_jpg/dx3KibwtDhvfBzA9fYuWtR7yLqNiav9w7KoY8WKdqIiaC8ohayx3AjUxhWgcVibXaD5erP7zADLayX3zzAjPR4pkfg/0?wx_fmt=jpeg" data-ratio="0.68561872909699" data-w="299"  /><br  />　极低回声</span><span style="max-width: 100%; font-size: 14px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; text-align: center; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 14px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><img data-s="300,640" data-type="jpeg" src="http://mmbiz.qpic.cn/mmbiz_jpg/dx3KibwtDhvfBzA9fYuWtR7yLqNiav9w7KWdbuxurDaUBd74upXdr1A6ekAia0ibz2Qmgia0KQSblHQhbMxTTfJFic9Q/0?wx_fmt=jpeg" data-ratio="0.6845637583892618" data-w="298"  /><br  />无回声</span><span style="max-width: 100%; font-size: 14px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; text-align: center; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 14px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><img data-s="300,640" data-type="jpeg" src="http://mmbiz.qpic.cn/mmbiz_jpg/dx3KibwtDhvfBzA9fYuWtR7yLqNiav9w7KME3IUxcwcAYCsibXrxZX7NDAIsxl4FmRdJ9ajr7MolfpPVZEF809wyg/0?wx_fmt=jpeg" data-ratio="0.6845637583892618" data-w="298"  /><br  />高回声　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">2.临床意义：<br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  />极低回声：多见于恶性结节，诊断特异性92-94%,也见于良性结节，如亚急性甲状腺炎。</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">低回声：大部分恶性结节等回声：大部分为良性结节，如腺瘤样结节，少部分为恶性结节。</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">高回声：多为良性结节。<br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  />　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 18px; box-sizing: border-box !important; word-wrap: break-word !important;">九、&nbsp;结节钙化：微钙化、粗钙化、环状钙化</span></strong><span style="max-width: 100%; font-size: 18px; box-sizing: border-box !important; word-wrap: break-word !important;">　　</span></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">1.分类　　根据钙化的大小、形态和分布特征分类。<br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  />微钙化：小于2mm的钙化，大小在1mm左右，大部分小于1mm，一般无声影，较多微钙化聚集时也可产生声影。</span><span style="max-width: 100%; font-size: 18px; text-align: center; line-height: 1.6; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">　　</span><img data-s="300,640" data-type="png" src="http://mmbiz.qpic.cn/mmbiz_png/dx3KibwtDhvfBzA9fYuWtR7yLqNiav9w7KYJYxXlOcgLxWCGDuJXATJhyVBBMMvYcEwcokxybluR7OEuP8DHPTAw/0?wx_fmt=png" data-ratio="0.7401129943502824" data-w="354"  /><br  /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; text-align: center; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 14px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">微钙化</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">粗钙化：大于2mm的钙化，常伴声影</span><span style="max-width: 100%; text-align: center; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">　　<img data-s="300,640" data-type="jpeg" src="http://mmbiz.qpic.cn/mmbiz_jpg/dx3KibwtDhvfBzA9fYuWtR7yLqNiav9w7KKW1b7a19B4fg4TL5ypIZLibP6e3bnpxic2qo4Vib0LqhicggrafnZug0fA/0?wx_fmt=jpeg" data-ratio="0.7380281690140845" data-w="355"  /><br  /></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; text-align: center; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 14px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">粗钙化</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">边缘钙化：位于结节边缘部位的钙化，可呈弧形或环形，可光滑或不光滑。</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; text-align: center; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><img data-s="300,640" data-type="jpeg" src="http://mmbiz.qpic.cn/mmbiz_jpg/dx3KibwtDhvfBzA9fYuWtR7yLqNiav9w7KLWrx00hdKlG3gyR2s1lMGMw8E9ZEMxbSdm2c0KaedD12jsRn640S5Q/0?wx_fmt=jpeg" data-ratio="0.7401129943502824" data-w="354"  /><br  /></span><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">　　<span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">环状钙化</span></span><span style="max-width: 100%; font-size: 14px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; text-align: center; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><img data-s="300,640" data-type="jpeg" src="http://mmbiz.qpic.cn/mmbiz_jpg/dx3KibwtDhvfBzA9fYuWtR7yLqNiav9w7KIJAX5krqqWDWJskoyBFrExbm4CGRIiboajqsMn8RJ6CEuBC3yMYiadjg/0?wx_fmt=jpeg" data-ratio="0.7380281690140845" data-w="355"  /><br  /><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">间断钙化</span></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">2.临床意义：<br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  />结节内出现任意类型的钙化，患癌的风险性均增加，以微钙化恶性危险性最大。<br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">微钙化：多见于恶性结节（PTC，髓样癌，未分化癌等）（病理：砂粒体），部分良性结节（增生结节），Graves’s病，桥本。<br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">粗钙化：良性结节，恶性结节（髓样癌）。　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">a.单发实性结节内部伴粗钙化时可能为恶性；　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">b.粗钙化可与微钙化并存于PTC中。<br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">边缘钙化：光滑的边缘钙化（环形、弧形）多见于良性结节，不光滑的　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">边缘钙化也可见于恶性结节。<br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  />　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 18px; box-sizing: border-box !important; word-wrap: break-word !important;">十、&nbsp;结节内浓缩胶质</span></strong><span style="max-width: 100%; font-size: 18px; box-sizing: border-box !important; word-wrap: break-word !important;">　　</span></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">超声表现：甲状腺胶质在结节内高度浓缩，超声上表现为囊性结节内点状强回声，后伴彗星尾征。实性结节内点状强回声后伴彗星尾征并非浓缩胶质。　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; text-align: center; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><img data-s="300,640" data-type="jpeg" src="http://mmbiz.qpic.cn/mmbiz_jpg/dx3KibwtDhvfBzA9fYuWtR7yLqNiav9w7KNNvicDw3ez6N6EBEHbIic79ewlGN5ibxVmSib2o0JBiaibIs1smSpp8icn4cw/0?wx_fmt=jpeg" data-ratio="0.7288629737609329" data-w="343"  /><br  /></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">临床意义：良性结节　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 18px; box-sizing: border-box !important; word-wrap: break-word !important;">十一、&nbsp;声晕　</span></strong><span style="max-width: 100%; font-size: 18px; box-sizing: border-box !important; word-wrap: break-word !important;">　</span></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">围绕结节的低或无回声环，由纤维结缔组织、受压的甲状腺组织或慢性炎症浸润组织构成，也可为血管结构（腺瘤）。　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">1.分类<br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  />按完整性分：　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">完整声晕：结节声晕完整无中断　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">不完整声晕：结节声晕出现中断　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">无声晕<br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">按声晕厚度不同：　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">厚声晕（厚度＞2mm）　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">薄声晕（厚度≤2mm）<br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">按声晕厚薄均匀度：　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 18px; box-sizing: border-box !important; word-wrap: break-word !important;">厚度均匀声晕<br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></span><span style="max-width: 100%; font-size: 18px; line-height: 1.6; box-sizing: border-box !important; word-wrap: break-word !important;">厚度不均匀声晕　　</span></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; line-height: 1.6; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; line-height: 1.6; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">2.临床意义：</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">完整，細窄——良性</span><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; text-align: center; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><img data-s="300,640" data-type="jpeg" src="http://mmbiz.qpic.cn/mmbiz_jpg/dx3KibwtDhvfBzA9fYuWtR7yLqNiav9w7Kz56QyjNa2SI9pzLQH8kKaSAhuiacaWG2Gx59L7dnN3tspOw9icxBsu9w/0?wx_fmt=jpeg" data-ratio="0.6997389033942559" data-w="383"  /><br  /><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></span></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">良性结节：完整均匀厚度薄声晕</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">不规整，厚的地方&gt;2cm——恶性。</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; text-align: center; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><img data-s="300,640" data-type="jpeg" src="http://mmbiz.qpic.cn/mmbiz_jpg/dx3KibwtDhvfBzA9fYuWtR7yLqNiav9w7KcLRdd4KoCBxBU7Ee55Jv8ABvOibTib2mrPjGC5wsrMibx6MicKXHLibxOdw/0?wx_fmt=jpeg" data-ratio="0.7015706806282722" data-w="382"  /><br  /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">恶性结节：不完整、厚、不均匀声晕（15-30%的PTC不完整声晕）　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">十二、结节被膜连续性</strong>　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">良性结节：多呈膨胀性生长．被膜可局部隆起，但连续性好。</span><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; text-align: center; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><img data-s="300,640" data-type="jpeg" src="http://mmbiz.qpic.cn/mmbiz_jpg/dx3KibwtDhvfBzA9fYuWtR7yLqNiav9w7KzicoHTxwITH4mzmhiclVVVDESPah3POJuouv2m3La2tso3DcIURY6W8Q/0?wx_fmt=jpeg" data-ratio="0.7300275482093664" data-w="363"  /><br  /></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; text-align: center; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; text-align: left; line-height: 1.6; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">良性结节</span><span style="max-width: 100%; font-size: 18px; text-align: left; line-height: 1.6; box-sizing: border-box !important; word-wrap: break-word !important;">　　</span></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">恶性结节：靠近被膜浸润性生长者．被膜受到侵犯，连续性可出现中断。</span><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; text-align: center; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><img data-s="300,640" data-type="jpeg" src="http://mmbiz.qpic.cn/mmbiz_jpg/dx3KibwtDhvfBzA9fYuWtR7yLqNiav9w7Kvr6rhsofJNDDCKvAiak7aEjmOxesKHQTwTjRmBNFJiah9dE6eFc5cknw/0?wx_fmt=jpeg" data-ratio="0.7300275482093664" data-w="363"  /><br  /><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">恶性结节　</span>　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; text-align: center; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 18px; box-sizing: border-box !important; word-wrap: break-word !important;">十三、彩色多普勒血流信号</span></strong><span style="max-width: 100%; font-size: 18px; box-sizing: border-box !important; word-wrap: break-word !important;">　　</span></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">1.分类：<br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  />边缘型：结节边缘存在血流信号，结节中央无或少许血流信号。</span><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><img data-s="300,640" data-type="jpeg" src="http://mmbiz.qpic.cn/mmbiz_jpg/dx3KibwtDhvfBzA9fYuWtR7yLqNiav9w7K57dWJmNneribziaHgKLwmzvRjQxNZAUBzichAvcH5V3DdJwAg3Y77P1tw/0?wx_fmt=jpeg" data-ratio="0.8058252427184466" data-w="309"  /><br  />混合型：结节边缘和中央均存在血流信号，程度相似。</span><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><img data-s="300,640" data-type="jpeg" src="http://mmbiz.qpic.cn/mmbiz_jpg/dx3KibwtDhvfBzA9fYuWtR7yLqNiav9w7KOTorKsuic18ib41rNB0jF00mapzib38GLu7U9q40X0yVbiaUxFXXZ8mcbg/0?wx_fmt=jpeg" data-ratio="0.8032258064516129" data-w="310"  /><br  />中央型：结节中央存在血流信号，边缘无或少许血流信号。</span><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><img data-s="300,640" data-type="jpeg" src="http://mmbiz.qpic.cn/mmbiz_jpg/dx3KibwtDhvfBzA9fYuWtR7yLqNiav9w7KFDiciaxQLFtRVGhGxCTJFA2p3KHs0DSFmOK1qDnsL4JaIeyPMXLUP3Zw/0?wx_fmt=jpeg" data-ratio="0.8032258064516129" data-w="310"  /><br  />无血流型：结节内无血流信号显示。<br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /><img data-s="300,640" data-type="jpeg" src="http://mmbiz.qpic.cn/mmbiz_jpg/dx3KibwtDhvfBzA9fYuWtR7yLqNiav9w7KlPVVUTSL4j8kACjx3vENjdeZIgiaygBvTucaxR034Acm5dNzgbPZMicw/0?wx_fmt=jpeg" data-ratio="0.8032258064516129" data-w="310"  /><br  />2.临床意义：<br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  />边缘型：良性结节，恶性结节<br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  />混合型：良性结节，恶性结节<br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  />中央型：多见于恶性结节<br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  />无血流型：良性结节（出血囊变、胶质储留），少数恶性结节（微小）<br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  />　　</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 18px; box-sizing: border-box !important; word-wrap: break-word !important;">十四、PI/RI　</span></strong><span style="max-width: 100%; font-size: 18px; box-sizing: border-box !important; word-wrap: break-word !important;">　</span></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 18px; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">以多次测量的最高值为标准&nbsp;，PI＞1.3，RI＞0.75可用于识别恶性结节，但部分恶性结节可表现为低阻力型血流动力学特征。</span></p><p><br  /></p><p><br  /></p><p style="text-indent: 0em; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: Arial, Verdana, sans-serif; font-size: 14px; line-height: 24px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(249, 249, 249);">广州市设备维修有限公司</span></p><p style="text-indent: 0em; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 12px; font-family: Arial, Verdana, sans-serif; line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">地址：广州市天河区银利街银利茶叶博览中心E栋4楼E4030室 &nbsp;&nbsp;</span><span style="font-size: 14px; line-height: 1.75em;">&nbsp; &nbsp;&nbsp;</span></p><p style="text-indent: 0em; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 12px; font-family: Arial, Verdana, sans-serif; line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="font-size: 14px; line-height: 1.75em;">邮编：510507</span></p><p style="text-indent: 0em; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 12px; font-family: Arial, Verdana, sans-serif; line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">电话：(+86)020-8722 8723 &nbsp; &nbsp;8764 5360 &nbsp; &nbsp;8764 2943 &nbsp; &nbsp;&nbsp;</span></p><p style="text-indent: 0em; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 12px; font-family: Arial, Verdana, sans-serif; line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">传真：020-8722 8623</span></p><p style="text-indent: 0em; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 12px; font-family: Arial, Verdana, sans-serif; line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">全国统一免费服务热线：400-020-6788</span></p><p style="text-indent: 0em; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 12px; font-family: Arial, Verdana, sans-serif; line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">微信公众帐号：</span></p><p style="text-indent: 0em; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 12px; font-family: Arial, Verdana, sans-serif; line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><img data-ratio="1" data-type="jpeg" data-w="120" width="auto" src="http://mmbiz.qpic.cn/mmbiz/dx3KibwtDhvfCZvZq5PcthnDKlnnq3AalhbichW77J3B70osicTickklZybNKUZqc44DZ0oaWaHm2p0TaA9478icwPg/640?wx_fmt=jpeg" style="box-sizing: border-box !important; word-wrap: break-word !important; width: auto !important; visibility: visible !important;"  /></p><p style="text-indent: 0em; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 12px; font-family: Arial, Verdana, sans-serif; line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">维修咨询：QQ: &nbsp;712638 404</span></p><p style="text-indent: 0em; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 12px; font-family: Arial, Verdana, sans-serif; line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">设备咨询: &nbsp; QQ: &nbsp;712638 405</span></p><p style="text-indent: 0em; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 12px; font-family: Arial, Verdana, sans-serif; line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">软件咨询：QQ: 712638 406</span></p><p style="text-indent: 0em; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 12px; font-family: Arial, Verdana, sans-serif; line-height: 1.75em; box-sizing: border-box !important; 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