超声诊断桥本甲状腺炎背景中乳头状癌的相关性探讨  

CLINICAL APPLICATION VALUE OF WELLS SCORES ON DIAGNOSIS OF SUSPECTED ACUTE APE IN EMERGENCY

作　　者：张娜[1] 闫凤芝 吕景[1] 陈海鸥[1] 肖凤仙[1] 

机构地区：[1]河北省保定市第二中心医院超声科,072750

出　　处：《中国煤炭工业医学杂志》2015年第3期410-412,共3页Chinese Journal of Coal Industry Medicine

摘　　要：目的探讨超声在诊断桥本甲状腺炎合并乳头状癌中的价值以及影响的相关因素。方法本试验采用回顾性分析,调查100例患有桥本甲状腺炎合并乳头状瘤患者的首次检查方法,根据检查方法的不同分为二组,超声组55例及病理组45例,总结分析结果,对比分析性别、年龄、诊断准确性、接受程度、费用、出结果时间、伤害性、整体效果等因素对超声诊断桥本甲状腺炎合并乳头状瘤的影响,根据结果正确选择检查方法。结果采用超声和病理作为首次检查对桥本甲状腺炎合并乳头状瘤的诊断差异较小,差异无统计学意义(P>0.05);采用相关因素分析可知接受程度、费用、出结果时间、伤害性对超声诊断桥本甲状腺炎合并乳头状瘤有一定影响。结论超声诊断桥本甲状腺炎合并乳头状瘤具有一定整体优势,费用少,时间短,患者接受程度高,伤害性小,可向临床推广。Objective To investigate clinical application value of Wells scores on diagnosis of suspected acute APE in emergency. Methods Clinical data of 76 patients with suspected acute APE in emergency were analyzed retrospectively and divided into three groups including low degree suspected group, medium degree suspected group and high degree suspected group according to Wells scores. The incidence rate of APE and false positive rate of diagnosis in different groups by Wells score used alone and combined with D - dimer detection were compared. Results There were significant differences in incidence rate of APE and false positive rate of diagnosis among three groups（P〈0.05 ）. The false positive rate of diagnosis in low degree suspected group by two method combined diagnosis was significantly lower than Wells score used alone（P〈0.05）. Conclusions Wells scores on diagnosis of suspected acute APE in emergency have advantages including simple operation and high accuracy prediction. Wells scores combined with D- dimer de- tection on diagnosis of suspected acute APE is helpful to decrease false positive rate of diagnosis.

关 键 词：桥本甲状腺炎 超声诊断 乳头状瘤 相关因素 

分 类 号：R581.4[医药卫生—内分泌]