如何评价超声检查发现的甲状腺结节

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                    <section class="" style="max-width: 100%; box-sizing: border-box; color: rgb(62, 62, 62); line-height: 24.381px; white-space: normal; word-wrap: break-word !important;"><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><p style="max-width: 100%; box-sizing: border-box; min-height: 1em; word-wrap: break-word !important;"><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;">由于超声检查分辨率的提高和超声检查的普遍应用，特别是甲状腺超声检查列为常规体检项目，发现了很多很多的甲状腺结节，有些微小结节可能并无临床意义（无症状、无恶果），但却给病人带来恐惧，由于其性质的不确定性，也给医生带来困惑。近年来，这方面的问题日益突出。</span><span style="max-width: 100%; line-height: 1.6; text-align: center; box-sizing: border-box !important; word-wrap: break-word !important;"></span></span></p></section></section></section><p><br  /></p><section class="" style="max-width: 100%; box-sizing: border-box; color: rgb(62, 62, 62); line-height: 24.381px; white-space: normal; word-wrap: break-word !important;"><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><p style="max-width: 100%; box-sizing: border-box; min-height: 1em; word-wrap: break-word !important;"><span style="max-width: 100%; box-sizing: border-box; line-height: 1.6; font-size: 18px; color: rgb(0, 0, 0); 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%; box-sizing: border-box; min-height: 1em; word-wrap: break-word !important;"><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%; box-sizing: border-box; line-height: 1.6; font-size: 18px; word-wrap: break-word !important;">目前超声检查的敏感性非常高，可发现2mm以上的囊性结节和3mm以上的实性结节。</span><span style="max-width: 100%; font-size: 18px; line-height: 1.6; box-sizing: border-box !important; word-wrap: break-word !important;">结节大小只是判断结节性质的一个方面，必须参考以下诸多信息，才能对结节的性质做出较为正确的判断，并提出处较为合理的理意见。</span></span></p><p style="max-width: 100%; box-sizing: border-box; min-height: 1em; word-wrap: break-word !important;"><span style="max-width: 100%; box-sizing: border-box; line-height: 1.6; font-size: 18px; color: rgb(0, 0, 0); word-wrap: break-word !important;"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></span></p><p style="text-align:center"><span style="max-width: 100%; box-sizing: border-box; line-height: 1.6; font-size: 18px; color: rgb(0, 0, 0); word-wrap: break-word !important;"><img data-s="300,640" data-type="png" src="http://mmbiz.qpic.cn/mmbiz/dx3KibwtDhvexLQPicss0TTeIO9ibX70ucmfndmMiayg7Riaqeic9k56kFDaiaMZUmyWIwlROolibF4QOPHZAwxD9cUqzQ/0?wx_fmt=png" data-ratio="0.36510791366906475" data-w=""  /><br  /></span></p><p style="text-align:center"><span style="max-width: 100%; box-sizing: border-box; line-height: 1.6; font-size: 18px; color: rgb(0, 0, 0); word-wrap: break-word !important;"><br  /></span></p><p style="max-width: 100%; box-sizing: border-box; min-height: 1em; 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%; box-sizing: border-box; line-height: 1.6; font-size: 18px; color: rgb(123, 12, 0); word-wrap: break-word !important;">提示可能恶性的信息包括：</span></strong></p><section style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><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%; box-sizing: border-box; line-height: 1.6; font-size: 18px; word-wrap: break-word !important;">①实性或低回声 &nbsp;</span><span style="max-width: 100%; box-sizing: border-box; line-height: 1.6; font-size: 18px; word-wrap: break-word !important;">②回声不均匀 &nbsp;③边缘不规则 &nbsp;④腺体外浸润 &nbsp;⑤前后径＞左右径 &nbsp;⑥缺乏晕环 &nbsp;⑦微钙化 &nbsp;</span><span style="max-width: 100%; font-size: 18px; line-height: 1.6; box-sizing: border-box !important; word-wrap: break-word !important;">⑧彩色多普勒超声显示结节内部血流丰富或富含血管，波形分析显示搏动性血流，搏动指数（PI）＞1.0，阻力指数（RI)＞0.65</span></strong></span></section></section></section></section><p><br  /></p><p><br  /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); 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-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="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 12px; line-height: 24px; 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