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taj"><p>甲狀腺異?；芈暿浅暀z查中常見的描述性術(shù)語，通常提示甲狀腺組織存在結(jié)構(gòu)或密度改變，可能由結(jié)節(jié)性甲狀腺腫、甲狀腺炎、甲狀腺腺瘤、甲狀腺囊腫或甲狀腺癌等疾病引起。</p><p><img class="up_image_20111121" src="https://file.bohe.cn/fhfile1/M00/79/54/o4YBAGhKpw2AcAGxAArnvtQ1W-s762.jpg"></p><p>結(jié)節(jié)性甲狀腺腫是甲狀腺異常回聲常見的原因之一，多與碘缺乏或甲狀腺激素合成障礙有關(guān)。超聲表現(xiàn)為邊界清晰或模糊的結(jié)節(jié)狀回聲，可能伴有鈣化或囊性變。患者通常無明顯癥狀，較大結(jié)節(jié)可能壓迫氣管導(dǎo)致呼吸困難。治療上以定期隨訪為主，若結(jié)節(jié)增長迅速或出現(xiàn)壓迫癥狀可考慮手術(shù)切除。</p><p>甲狀腺炎包括橋本甲狀腺炎和亞急性甲狀腺炎等類型，超聲可見甲狀腺彌漫性回聲不均，可能伴片狀低回聲區(qū)。橋本甲狀腺炎患者常出現(xiàn)甲狀腺功能減退，需補(bǔ)充左甲狀腺素鈉；亞急性甲狀腺炎多由病毒感染引發(fā)，表現(xiàn)為頸部疼痛和發(fā)熱，可選用非甾體抗炎藥緩解癥狀。</p><p><img class="up_image_20111121" src="https://file.bohe.cn/fhfile1/M00/79/9E/ooYBAGhKpw2ACehRAAgEameeiyI349.jpg"></p><p>甲狀腺腺瘤屬于良性腫瘤，超聲顯示為圓形或橢圓形低回聲團(tuán)塊，邊界清晰，周邊可見暈環(huán)。多數(shù)患者無自覺癥狀，部分可能出現(xiàn)甲狀腺功能亢進(jìn)表現(xiàn)。對(duì)于功能性腺瘤或直徑超過4厘米的腫瘤，建議行甲狀腺部分切除術(shù)，術(shù)后需監(jiān)測(cè)甲狀腺功能。</p><p>甲狀腺囊腫表現(xiàn)為無回聲或混合回聲區(qū)，囊壁薄而光滑，內(nèi)容物為液體。單純性囊腫一般無需治療，若囊腫較大引起壓迫癥狀或反復(fù)出血，可考慮超聲引導(dǎo)下穿刺抽液或硬化治療。合并感染時(shí)可能出現(xiàn)局部紅腫熱痛，需配合抗生素治療。</p><p>甲狀腺癌的超聲特征包括微小鈣化、邊緣不規(guī)則、縱橫比大于1等，常見類型有乳頭狀癌和濾泡狀癌。早期多無明顯癥狀，晚期可能出現(xiàn)聲音嘶啞或頸部淋巴結(jié)腫大。確診需依靠細(xì)針穿刺活檢，治療以手術(shù)切除為主，術(shù)后根據(jù)病理類型選擇放射性碘治療或靶向藥物治療。</p><p>發(fā)現(xiàn)甲狀腺異?；芈暫髴?yīng)結(jié)合甲狀腺功能檢查和臨床表現(xiàn)綜合評(píng)估。建議保持規(guī)律作息，避免高碘或低碘飲食，定期復(fù)查甲狀腺超聲。出現(xiàn)頸部腫塊迅速增大、聲音改變或吞咽困難等癥狀時(shí)需及時(shí)就醫(yī)。對(duì)于良性病變患者，可適當(dāng)增加硒元素?cái)z入，有助于維持甲狀腺正常功能。</p></div> <div id="lfqr6l5uj" class="f24 fc9 lh40 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