超声造影在甲状腺结节良恶性鉴别诊断中的应用价值  

Application of contrast-enhanced ultrasonography in differential diagnosis of benign and malignant thyroid nodules

作　　者：王双龙[1] Wang Shuangyong(Jining First People's Hospital,Jining,Shandong 272000)

机构地区：[1]济宁市第一人民医院,山东济宁272000

出　　处：《健康忠告》2020年第4期108-108,共1页Health Advice

摘　　要：目的:探讨在甲状腺结节良恶性鉴别诊断中超声造影的应用效果。方法:本次研究以我院接受治疗的90例甲状腺结节患者为主,选取时间为2018年12月-2019年12月,手术治疗前均接受超声造影检查,共148个结节,在超声造影增强模式下,观察患者的结节病变情况,对患者结节良恶性做出判断,与病理检查相比较,分析超声造影的应用价值。结果:在病理检查方式下,共诊断出72个良性结节,主要包括结甲、腺瘤、亚甲炎、血肿等,其中,结甲数量较多,共61个。恶性结节共76个,主要包括甲状腺乳头状癌和髓样癌两种病症类型,前者数量居多,共75个。对超声造影的检查结果进行分析,共诊断出69个恶性结节,敏感性为90.79%,良性结节共54个,特异性为75.00%,阳性预测率和阴性预测率分别为79.31%、88.52%,诊断符合率为83.11%。结论:将超声造影技术应用于甲状腺结节良恶性鉴别诊断中,可获取更多的疾病信息,临床诊断准确度更高,为后期临床治疗工作的开展提供了更多的参考依据。objective:to investigate the effect of contrast-enhanced ultrasound(ceus)in the differential diagnosis of benign and malignant thyroid nodules.Methods:this study to the hospital for treatment of 90 patients with thyroid nodule is given priority to,select time for December 2018-December 2019,before surgery were examined by ultrasound imaging,a total of 148 nodes,under ultrasound contrast enhancement pattern,observed in patients with nodular lesions,to judge nodules benign and malignancy patients,compared with pathologic examination,analysis of the value of contrast-enhanced ultrasound application.Results:under the pathologic examination,72 benign nodules were diagnosed,mainly including nail knot,adenoma,thyroiditis,hematoma,etc.There were 76 malignant nodules,mainly including papillary carcinoma and medullary carcinoma of the thyroid.By analyzing the results of contrast-enhanced ultrasound,a total of 69 malignant nodules were diagnosed,with a sensitivity of 90.79%,a specificity of 75.00%,a positive prediction rate of 79.31%and a negative prediction rate of 88.52%,and a diagnostic coincidence rate of 83.11%.Conclusion:the application of contrast-enhanced ultrasound in the differential diagnosis of benign and malignant thyroid nodules can obtain more disease information,improve the accuracy of clinical diagnosis,and provide more reference for the later clinical treatment.

关 键 词：甲状腺结节良恶性 鉴别诊断 超声造影 效果 

分 类 号：R73[医药卫生—肿瘤]