B超在甲状腺结节性疾病诊断中的有效性分析  

Analysis of the Effectiveness of B-ultrasonography in the Diagnosis of Thyroid Nodular Diseases

作　　者：黄伟勇 HUANG Wei-yong(Department of Ultrasound,Dongkeng Hospital,Dongguan,Guangdong Province,523451 China)

机构地区：[1]东莞市东坑医院超声科

出　　处：《中外医疗》2019年第12期166-168,共3页China & Foreign Medical Treatment

摘　　要：目的分析B超在甲状腺结节性疾病诊断中的有效性。方法方便选取该院2014年1月-2017年4月期间收治的60例甲状腺结节性疾病患者参与该次研究,分别应用CT和B超对患者实施诊断,并将两种诊断方法的诊断结果与病理结果进行比较。结果 B超检查表现60例患者甲状腺两侧叶多呈不同程度的不对称性增大,彩色多普勒血流信息检查显示,60例患者中,56例患者结节周边有血管环绕,两种诊断方法均检出结节性甲状腺肿、结节性毒性甲状腺肿、炎性结节、甲状腺囊肿。且两种诊断方法各病理类型诊断结果与病理结果的符合率比较差异无统计学意义(P>0.05)。B超诊断结果显示,结节性甲状腺肿20例(100.00%),结节性毒性甲状腺肿6例(85.71%)、炎性结节14例(87.50%)、甲状腺囊肿15例(88.24%),与病理结果的总符合率为91.67%,CT诊断结果分别为20例(100.00%)、7例(100.00%)、15例(93.75%)、16例(94.12%)、58例(96.67%),与病理结果的总符合率为96.67%,两种方式比较差异无统计学意义(χ^2=1.365,P>0.05)。结论 B超用于诊断甲状腺结节性疾病,所具有的应用价值与CT比较无明显差异,且操作更加简单、安全无创、可重复性强,价格更加低廉。Objective: To analyze the effectiveness of B-ultrasonography in the diagnosis of thyroid nodular diseases.Methods A total of 60 patients with thyroid nodular disease admitted in our hospital from January 2014 to April 2017 were convenient selected. The patients were diagnosed by CT and B-ultrasonography, respectively. The diagnostic results of the two diagnostic methods were compared with the pathological results. Results B-ultrasound examination showed that 60 patients had different degrees of asymmetry increase on both sides of the thyroid gland. Color Doppler flow data examination showed that among 60 patients, 56 patients had blood vessels around the nodules. Nodular goiter, nodular gonads, inflammatory nodules, and thyroid cysts were detected in the two diagnostic methods. There was no statistically significant difference in the coincidence rate between the pathological results of the two pathological types and the pathological results(P>0.05). B-ultrasound diagnosis showed 20 cases of nodular goiter(100.00%), 6 cases of nodular gonads(85.71%), 14 cases of inflammatory nodules(87.50%), 15 cases of thyroid cysts(88.24%). The total coincidence rate compared with pathological results was 91.67%. In CT diagnosis, the statistics were 20(100.00%), 7(100.00%), 15(93.75%), 16(94.12%), and 58(96.67%). The total coincidence rate compared with pathological results was 96.67%. There was no statistically significant difference between the two methods(χ^2=1.365, P>0.05). Conclusion There is no significant difference in application value between B-ultrasound diagnosis and CT diagnosis of thyroid nodular disease. Compared with CT, B-ultrasound diagnosis is inexpensive, reproducible, and safe without invasion. And the operation is relatively simple.

关 键 词：甲状腺结节性疾病 B超 CT 有效性 符合率 

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]