超声规范化检查对甲状腺结节良恶性质判定的临床价值  

Clinical Value of Ultrasound Standardized Examination in Differentiating Benign and Malignant Thyroid Nodules

作　　者：杨阳[1] 朱梅[1] 普鑫[2] 何敏[1] 章晓锋 王菲[1] 

机构地区：[1]昆明医科大学第一附属医院超声科,云南省超声影像研究中心,云南昆明650031 [2]昆明医科大学第一附属医院病案统计科,云南昆明650031

出　　处：《昆明医科大学学报》2015年第3期51-54,共4页Journal of Kunming Medical University

基　　金：国家自然科学基金资助项目(81160178)

摘　　要：目的探讨超声规范化检查对甲状腺结节良恶性质的诊断价值.方法对2011年9月至2014年9月昆明医科大学第一附属医院收治并经病理检查证实的1 556例甲状腺结节手术患者资料纳入研究,分别对术前未按超声规范化检查的普通组及严格按超声范化检查的规范组病例进行统计,探讨超声范化检查对诊断符合率的影响.结果根据声像图特点超声检查可对结节进行大体病理分型,普通组1 135例患者甲状腺结节的良恶性诊断符合率为74.4%,漏诊率13.3%,误诊率12.3%;规范组421例严格按超声规范化要求检查后,诊断符合率达92.6%,漏诊率3.1%,误诊率4.3%,其差异有统计学意义(P<0.01).结论超声规范化检查对甲状腺结节全面、综合的分析和判断,在结节良恶性质判定方面有极高的诊断符合率,有广阔的应用前景.Objective To evaluate the clinical value of ultrasonic standardized diagnosis in differentiating benign and malignant thyroid nodules.Methods We reviewed the clinical data of 1 556 cases thyroid nodules patients confirmed by pathological examination from September 2011 to September 2014. Then we separately and statistically analyzed the cases of preoperative ultrasonic standardized examination,so as to investigate the influence of this standardization on the diagnostic accordance rate.Results According to the ultrasonographic characteristics, pathological types of thyroid nodules could be generally classified. 1135 patients were given ultrasonic non-standardized examination, the coincidence rate was 74.4%, the rate of missed diagnosis was13.3%,the misdiagnosis rate was 12.3%. 421 cases were given standardization examination, the coincidence rate was 92.6%,the rate of missed was 3.1%,the misdiagnosis rate was 4.3%.The difference had significant statistically significance（P〈0.01）. Conclusions Ultrasonic standardized examination can comprehensively analyze and distinguish thyroid nodules. It can improve the identification rate of benign and malignant thyroid nodules, and show wide application prospect.

关 键 词：甲状腺癌 超声 规范化 诊断率 

分 类 号：R445.1[医药卫生—影像医学与核医学]