结节性甲状腺肿合并甲状腺癌采用超声诊断方法的临床价值  

The clinical value of ultrasound diagnosis of nodular goiter with thyroid cancer

作　　者：巫景潜 蒋泽波[1] 巫雁丹 林洁[1] 谢秀娟[1] WU Jingqian;JIANG Zebo;WU Yandan;LIN Jie;XIE Xiujuan(The People's Hospital of Yingde City,Yingde 513000,China)

机构地区：[1]英德市人民医院,广东英德513000

出　　处：《包头医学院学报》2021年第5期38-40,66,共4页Journal of Baotou Medical College

摘　　要：目的:探究超声诊断在结节性甲状腺肿合并甲状腺癌临床诊断中的应用价值。方法:选择在我院进行甲状腺疾病筛查的结节性甲状腺肿合并甲状腺癌患者作为研究对象,病例数80例,诊断时间2019年10月~2020年10月。先后对患者进行CT检查与超声诊断检查,以病理诊断结果为标准,对比CT检查与超声诊断的临床诊断符合率、灵敏度、特异性。同时对比良性结节、恶性结节超声诊断结果。结果:超声诊断符合率、灵敏度、特异性分别为94.69%、94.29%、95.35%,相比CT检查的82.30%、82.86%、81.40%差异显著,组间数据对比存在统计学意义(P<0.05);恶性结节形态有毛刺、混合回声、钙化概率分别为82.86%、74.29%、77.14%,明显高于良性结节的44.19%、25.58%、23.26%,差异存在统计学意义(P<0.05);恶性结节血流特征2级、3级概率分别是65.71%、17.14%,明显高于良性结节的20.93%、2.33%,差异有统计学意义(P<0.05)。结论:在结节性甲状腺肿合并甲状腺癌临床诊断中,应用超声诊断具有较高的临床价值,相比CT检查的诊断符合率、灵敏度、特异性都有明显优势。超声诊断可以通过对比结节形态有无毛刺、低回声、微钙化,以及观察结节血流情况判断结节良恶性,对于结节性甲状腺肿合并甲状腺癌的临床诊断有准确参考意义,值得应用。Objective:To explore the value of ultrasonic diagnosis in the clinical diagnosis of nodular goiter with thyroid carcinoma.Methods:Patients with suspected nodular goiter with thyroid carcinoma who were screened for thyroid disease in our hospital were selected as the subjects,80 cases.CT and ultrasound examinations were performed,based on pathological findings.The clinical diagnostic coincidence rate,sensitivity and specificity of CT examination and ultrasound diagnosis,the results of ultrasound diagnosis of benign and malignant nodules were compared.Results:The coincidence rate,sensitivity,and specificity of ultrasound diagnosis were 94.69%,94.29%,and 95.35%,respectively.Compared with CT examination,82.30%,82.86%,and 81.40%were significantly different.The comparison of data between groups was statistically significant(P<0.05).Nodules with burrs,mixed echo,and calcification probability were 82.86%,74.29%,and 77.14%,respectively,which were significantly higher than 44.19%,25.58%,and 23.26%of benign nodules.The difference in data was statistically significant(P<0.05);the probabilities of grade 2 and grade 3 blood flow characteristics of nodules were 65.71%and 17.14%,respectively,which were significantly higher than those of benign nodules,20.93%and 2.33%.The difference in data comparison was statistically significant(P<0.05).Conclusion:In the clinical diagnosis of nodular goiter with thyroid cancer,the application of ultrasound diagnosis has high clinical value.Compared with CT examination,the diagnosis coincidence rate,sensitivity and specificity have obvious advantages.Ultrasound diagnosis can judge the benign and malignant nodules by comparing the morphology of nodules with burrs,hypoechoic,microcalcification,and observing the blood flow of the nodules.It has accurate reference significance for the clinical diagnosis of nodular goiter with thyroid cancer,and is worthy of application.

关 键 词：结节性甲状腺肿 甲状腺癌 超声检查 灵敏度 特异性 

分 类 号：R445.1[医药卫生—影像医学与核医学] R736.1[医药卫生—诊断学] R581.3[医药卫生—临床医学]