高频超声与螺旋CT对甲状腺癌诊断结果的对比分析  

Comparative analysis of high-frequency ultrasound and spiral CT in diagnosis of thyroid carcinoma

作　　者：徐易[1] 李龙[1] 刘莹[1] 杨先[1] 白晶[1] 

机构地区：[1]哈尔滨医科大学附属第三医院超声科,150040

出　　处：《中国地方病学杂志》2010年第5期562-564,共3页Chinese Jouranl of Endemiology

摘　　要：目的 对比分析甲状腺癌的高频超声（HFUS）与螺旋CT影像学检查结果,探讨HFUS在甲状腺癌诊断中的应用价值.方法 收集2007-2009年在哈尔滨医科大学附属肿瘤医院经手术或细胞学穿刺病理证实的甲状腺癌病例的影像学检查结果,从中筛选出均进行HFUS和螺旋CT检查的病例,对比分析两种影像学检查在甲状腺癌诊断中的应用价值.结果 共筛选出均进行HFUS和螺旋CT检查的病人35例,其中应用HFUS诊断甲状腺癌为27例,诊断率为77.1%（27/35）;应用螺旋CT诊断甲状腺癌25例,诊断率为71.4%（25/35）;两种检查方法比较差异无统计学意义（x2=0.3,P＞0.05）.应用HFUS与螺旋CT共诊断甲状腺癌33例,诊断率为94.3%（33/35）,诊断率明显高于单独使用HFUS或单独使用螺旋CT（与HFUS比较,x2=4.2,P＜0.05;与螺旋CT比较,x2=6.4,P＜0.05）.结论 同时应用HFUS和螺旋CT,可明显提高甲状腺癌的诊断率.Objective To investigate the value of high-frequency ultrasound in diagnosis of thyroid carcinoma by comparative analysis of high-frequency ultrasound and spiral CT imaging results. Methods The imaging results of patients with thyroid carcinoma proved by postoperative pathology or biopsy results were reviewed.High-frequency ultrasound and spiral CT were used to examine the 35 patients in The Tumor Hospital of Harbin Medical University between 2007 and 2009. Results Diagnosis of thyroid carcinoma by application of Highfrequency ultrasound were 27 cases, diagnosis rate was 77.1%（27/35）;by spiral CT were 25 cases, diagnosis rate was 71.4% （25/35）;comparison of the two methods showed no significant difference （x2= 0.3, P 〉 0.05）. Combined application of high-frequency ultrasound and spiral CT diagnosed 33 patients with thyroid carcinoma, diagnosis rate was 94.3%（33/35）, which was significantly higher than that of high-frequency ultrasound alone or that of spiral CT alone（compared with high-frequency ultrasound, x2 = 4.2, P 〈 0.05;and spiral CT, x2 = 6.4, P 〈 0.05）. Conclusion Combined application of high-frequency ultrasound and spiral CT can improve the diagnosis rate of thyroid carcinoma.

关 键 词：甲状腺肿瘤 高频超声 螺旋CT 

分 类 号：R686[医药卫生—骨科学]