高频超声联合16排CT诊断良恶性甲状腺结节准确性与灵敏度价值分析  

Analysis value of accuracy and sensitivity of high frequency ultrasound combined with 16 slice CT for benign and malignant thyroid nodules

作　　者：戴宇彪 罗海波[2] 黄宁 陈洁鑫[3] 林雁捷[4] 

机构地区：[1]广东省东莞市第六人民医院超声科,东莞523000 [2]东莞市人民医院 [3]广东医学院附属医院 [4]东莞市妇幼保健院

出　　处：《临床医学》2016年第11期58-60,共3页Clinical Medicine

基　　金：广东省东莞市医疗卫生课题(201610515000786)~~

摘　　要：目的研究高频超声联合16排CT检查良恶性甲状腺结节的临床意义。方法回顾性分析2013年7月至2015年7月,于我科检诊并经病理(部分病理为外院结果)确诊的291例甲状腺多发结节患者的临床资料,依据检查方式将其分为超声CT联合检查组(n=98)、超声检查组(n=97)、CT检查组(n=96),对比三组甲状腺结节的病灶影像学特征情况,对比三组特异度、灵敏度及准确性,对比三组鉴别良恶性甲状腺结节的符合率。结果联合检查组甲状腺结节囊变、侵袭包膜、晕环、钙化、肿大淋巴结、病灶边界等影像学特征检出情况高于超声检查组、CT检查组,差异有统计学意义(P<0.05)。联合检查组的特异度为91.84%、灵敏度为78.57%、准确性为84.69%,与超声检查组、CT检查组分别对比,差异均有统计学意义(P<0.05)。联合检查组甲状腺结节良性49例,病理证实43例符合,恶性49例,病理证实39例符合,联合检查符合率为83.67%,与超声检查组、CT检查组分别对比,差异均有统计学意义(P<0.05)。结论高频超声联合16排CT检查良恶性甲状腺结节,具有较高的特异度、灵敏度及准确性,与病理诊断的符合率高,应结合患者具体情况给予推广。Objective To study the clinical significance of high frequency ultrasound combined with 16 slice CT in the examination of benign and malignant thyroid nodules. Methods From July 2013 to July 2015,the clinical data of 291 patients with multiple thyroid nodules were retrospectively analyzed. According to the inspection methods,the patients were divided into the ultrasound CT combined with inspection group（ n = 98）,the ultrasound examination group（ n = 97）,and the CT examination group（ n = 96）. Then,the imaging features of the lesions of thyroid nodules of three groups were compared,the specificity,sensitivity and accuracy of three groups were compared,and the coincidence rate of benign and malignant thyroid nodules was identified of the three groups were compared. Results The thyroid nodules cystic change,invasive capsule,halo ring,calcification,enlarged lymph nodes,lesion borders and other imaging features detection situation in the ultrasound CT combined with inspection group were higher than those in the ultrasound examination group and the CT examination group,there were significant differences（ P〈0. 05）. In the ultrasound CT combined with inspection group,the specificity was 91. 84%,the sensitivity was 78. 57%,and the accuracy was 84. 69%,and compared with the ultrasound examination group and the CT examination group,the differences were significant（ P〈0. 05）. In the ultrasound CT combined with inspection group,49 cases were benign thyroid nodules and 43 cases were confirmed by pathology,49 cases were malignant,and 39 cases were confirmed by pathology,and the coincidence rate was 83. 67%. And compared with the ultrasound examination group and CT examination group,there were significant differences（ P〈0. 05）. Conclusion The high frequency ultrasound combined with 16 slice CT in the examination of benign and malignant thyroid nodules,which has high specificity,sensitivity and accuracy,and the high rate of pathological diagnosis,thus it should be combined with the specific circumstan

关 键 词：高频超声 16排CT 甲状腺结节 

分 类 号：R445.1[医药卫生—影像医学与核医学] R581[医药卫生—诊断学] R736.1[医药卫生—临床医学] R730.44