二维超声与彩色多普勒超声诊断甲状腺良恶性结节的临床应用价值  

The Clinical Application Value of Two-dimensional Ultrasound and Color Doppler Ultrasound in the Diagnosis of Benign and Malignant Thyroid Nodules

作　　者：孙洪洋 刘文波[1] 姜阳[1] 王婷 张颖[1] 杨欣[1] SUN Hong-yang;LIU Wen-bo;JIANG Yang;WANG Ting;ZHANG Ying;YANG Xin(Department of Physical Diagnosis,Jiamusi Central Hospital,Jiamusi 154002,Heilongjiang,China)

机构地区：[1]佳木斯市中心医院物理诊断科,黑龙江佳木斯154002

出　　处：《医学信息》2022年第3期178-180,共3页Journal of Medical Information

摘　　要：目的研究二维超声与彩色多普勒超声诊断甲状腺良恶性结节的价值。方法选取2020年4月-2021年4月我院经手术病理确诊的74例甲状腺结节患者为研究对象,均进行二维超声及彩色多普勒超声检查,比较二维超声与彩色多普勒超声的诊断准确率、良恶性超声征象分布特点,二维超声与彩色多普勒超声及二维超声联合彩色多普勒超声诊断的敏感度、特异度。结果二维超声联合彩色多普勒超声诊断甲状腺良性、恶性结节的准确率均高于二维超声、彩色多普勒超声诊断,且彩色多普勒超声诊断高于二维超声诊断,差异有统计学意义(P<0.05);二维超声诊断良性结节边界清晰、囊实质、形态规则发生率均高于恶性结节患者,低回声、微钙化发生率低于恶性结节患者,差异有统计学意义(P<0.05);彩色多普勒超声诊断,良性结节Ⅰ级血流信号发生率均高于恶性结节,Ⅱ、Ⅲ级血流信号发生率低于恶性结节,差异有统计学意义(P<0.05);二维超声联合彩色多普勒超声诊断敏感度、特异度均高于二维超声、彩色多普勒超声单独诊断,且彩色多普勒超声诊断高于二维超声诊断,差异有统计学意义(P<0.05)。结论二维超声联合彩色多普勒超声诊断甲状腺良恶性结节敏感度、特异度均较高,具有重要的临床价值,可为临床甲状腺良恶性结节鉴别诊断提供可靠的参考依据。Objective To study the value of two-dimensional ultrasound and color Doppler ultrasound in the diagnosis of benign and malignant thyroid nodules.Methods A total of 74 patients with thyroid nodules diagnosed by surgery and pathology in our hospital from April 2020 to April 2021 were selected as the research objects.All patients underwent two-dimensional ultrasound and color Doppler ultrasound.The diagnostic accuracy of two-dimensional ultrasound and color Doppler ultrasound,the distribution characteristics of benign and malignant ultrasound signs,the sensitivity and specificity of two-dimensional ultrasound and color Doppler ultrasound and two-dimensional ultrasound combined with color Doppler ultrasound were compared.Results The accuracy of two-dimensional ultrasound combined with color Doppler ultrasound in the diagnosis of benign and malignant thyroid nodules was higher than that of two-dimensional ultrasound and color Doppler ultrasound,and the diagnosis of color Doppler ultrasound was higher than that of two-dimensional ultrasound,the difference was statistically significant(P<0.05).The incidence of clear boundary,cystic parenchyma and regular morphology of benign nodules diagnosed by two-dimensional ultrasound was higher than that of malignant nodules,and the incidence of hypoechoic and microcalcifications was lower than that of malignant nodules,and the difference was statistically significant(P<0.05).The incidence of gradeⅠblood flow signals in benign nodules was higher than that in malignant nodules,and the incidence of gradeⅡandⅢblood flow signals was lower than that in malignant nodules,the difference was statistically significant(P<0.05).The diagnostic sensitivity and specificity of two-dimensional ultrasound combined with color Doppler ultrasound were higher than those of two-dimensional ultrasound and color Doppler ultrasound alone,and the diagnosis of color Doppler ultrasound was higher than that of two-dimensional ultrasound(P<0.05).Conclusion The sensitivity and specificity of two-dimensiona

关 键 词：二维超声 彩色多普勒超声 甲状腺 良恶性结节 

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]