高频超声联合超微血管成像在甲状腺恶性肿瘤诊断中的价值分析  

Analysis of the value of high frequency ultrasound combined with superb microvascular imaging in the diagnosis of thyroid malignancy

作　　者：张馨丹[1] 岳庆雄[1] 李英梅[1] 刘金涛[2] ZHANG Xindan;YUE Qingxiong;LI Yingmei;LIU Jintao(Department of Ultrasound Diagnosis,Dalian Municipal Central Hospital,Dalian 116000,Liaoning,China;Department of Breast and Thyroid Surgery,Dalian Municipal Central Hospital,Dalian 116000,Liaoning,China)

机构地区：[1]大连市中心医院超声诊断科,辽宁大连116000 [2]大连市中心医院乳腺甲状腺外科,辽宁大连116000

出　　处：《癌症进展》2021年第19期1982-1984,共3页Oncology Progress

摘　　要：目的探讨高频超声联合超微血管成像(SMI)在甲状腺恶性肿瘤诊断中的应用价值。方法将300例甲状腺肿瘤患者的414个结节均进行高频超声检查及SMI,比较各种检查方式的灵敏度、特异度、准确度、阳性预测值、阴性预测值。结果300例甲状腺肿瘤患者414个结节中,病理诊断结果为193个恶性结节,221个良性结节;高频超声诊断结果为恶性结节163个,良性结节251个;SMI诊断结果为恶性结节170个,良性结节244个;高频超声联合SMI诊断结果为恶性结节203个,良性结节有211个。高频超声联合SMI检查甲状腺结节的灵敏度、特异度、准确度、阳性预测值、阴性预测值均高于单纯高频超声检查、SMI检查(P﹤0.05)。结论高频超声联合SMI诊断甲状腺恶性肿瘤的诊断价值较好,值得临床推广应用。Objective To explore the value of high frequency ultrasound combined with superb microvascular imaging(SMI)in the diagnosis of thyroid malignancy.Method A total of 414 nodules of 300 patients with thyroid tumor were examined by high frequency ultrasound and SMI,the sensitivity,specificity,accuracy,positive predictive value and negative predictive value of various detection methods were compared.Result Pathological diagnosis showed that there were 193 malignant nodules and 221 benign nodules among the 414 nodules in 300 patients with thyroid tumor;high frequency ultrasound showed 163 malignant and 251 benign nodules;SMI showed 170 malignant and 244 benign nodules;the high frequency ultrasound combined SMI showed 203 malignant and 211 benign nodules.The sensitivity,specificity,accuracy,positive predictive value and negative predictive value of high frequency ultrasound combined with SMI were higher than those of single high frequency ultrasound and SMI(P<0.05).Conclusion The high frequency ultrasound combined SMI has a better diagnostic value for the detection of thyroid malignancy,which is worthy of clinical promotion.

关 键 词：高频超声 超微血管成像 甲状腺 恶性肿瘤 

分 类 号：R736.1[医药卫生—肿瘤]