动脉血流阻力结合钙化模式对诊断甲状腺结节临床性质的意义探讨  

The significance of arterial blood flow resistance combined with calcification model in the diagnosis of thyroid nodules

作　　者：蓝菊松 徐素音 曹海秀[1] Lan Jusong;Xu Suyin;Cao Haixiu(Jiujiang First People's Hospital,Jiujiang,Jiangxi,332000,China)

机构地区：[1]九江市第一人民医院,江西九江332000

出　　处：《当代医学》2018年第36期59-61,共3页Contemporary Medicine

基　　金：江西省卫生计生委科技计划(20187110)

摘　　要：目的探讨动脉血流阻力结合钙化模式对诊断甲状腺结节临床性质的临床意义。方法选取本院行手术治疗的甲状腺结节患者282例,术前均行甲状腺彩色多普勒超声检查,根据术后病理诊断分别将甲状腺恶性结节及良性结节患者设为恶性组和良性组。比较两组患者的动脉血流阻力(RI)和钙化情况、两种方法单独以及联合诊断甲状腺结节的敏感性和特异性。结果 282例患者经术后病理确定为良性225例(良性组),确定为恶性57例(恶性组);恶性组RI≥0.70的概率、钙化率均明显高于良性组(P<0.05);2种方法联合诊断甲状腺结节的敏感性和特异性明显优于两种方法单独诊断(P<0.05)。结论 RI和钙化模式联合应用于甲状腺结节的临床诊断中,可提高临床诊断率,对甲状腺结节性质的判定具有重要临床应用价值,为临床诊断及治疗提供更加准确的信息。Objective To investigate the clinical significance of arterial blood flow resistance combined with calcification for the diagnosis of thyroid nodules.Methods282cases of thyroid nodules in our hospital were selected.All patients underwent thyroid color Doppler ultrasonography before operation.According to postoperative pathological diagnosis,thyroid malignant nodules and benign nodules were respectively set as malignant group and benign group.The sensitivity and specificity of the arterial flow resistance(RI)and calcification,the2methods alone,and the combined diagnosis of thyroid nodules were compared between the2groups.Results282cases of patients with postoperative pathology confirmed benign225cases(benign group),57cases identified as malignant(malignant group);The probability of RI greater than or equal to0.70and the probability of calcification rate were significantly higher than those in benign group(P<0.05);the combination of2methods in diagnosis of thyroid nodules.The sensitivity and specificity were better than2methods diagnosis alone(P<0.05).Conclusion Combined application of RI and calcification mode in the clinical diagnosis of thyroid nodules can improve the clinical diagnostic rate,and has important clinical value for the determination of the nature of thyroid nodules,providing more accurate information for clinical diagnosis and treatment.

关 键 词：动脉血流阻力 钙化模式 甲状腺结节 临床性质 

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]