声脉冲辐射力技术联合TI-RADS在甲状腺良恶性结节诊断中的应用价值  

Diagnostic value of TI-RADS combined with pulsedultrasound in benign and malignant thyroid nodules

作　　者：吴赫 张智超 韩博 李佳成 赵昕 韩旭[1] 王晓慧[1] WU He;ZHANG Zhi-chao;HAN Bo;LI Jia-cheng;ZHAO Xin;HAN Xu;WANG Xiao-hui(School of Clinical Medicine,Jiamusi University,Jiamusi 154003,China)

机构地区：[1]佳木斯大学临床医学院,黑龙江佳木斯154003

出　　处：《黑龙江医药科学》2023年第6期21-23,共3页Heilongjiang Medicine and Pharmacy

基　　金：黑龙江省教育厅大学生创新课题,编号:20191022264。

摘　　要：目的:探讨声触诊组织量化(VTQ)联合TI-RADS对甲状腺良恶性结节诊断中应用价值。方法:选取2019年12月至2020年6月期间本院收入的甲状腺结节患者90例共145个结节,患者术前均行VTQ技术测量结节的剪切波速度值(SWV),同时按照TI-RADS分类标准进行分级,以术后病理结果为金标准,计算VTQ联合TI-RADS诊断甲状腺结节的准确性、敏感性、特异性、阳性预测值以及阴性预测值,绘制ROC曲线进行分析。结果:VTQ联合TI-RADS检查结果的准确度为93.04%(107/115),敏感度94.73%(36/38),特异度92.20%(71/77)。结论:VTQ联合TI-RADS可明显提高甲状腺结节良恶性的诊断率,在甲状腺结节良恶性的鉴别诊断中具有诊断价值。Objective:To explore the application value of VTQ combined with TI-RADS in the diagnosis of benign and malignant thyroid nodules.Methods:From December 2019 to June 2020,90 patients with 145 thyroid nodules in our hospital were selected,and the shear wave velocity(SWV)of the nodules were measured by VTQ before operation,and graded according to TI-RADS classification standard.The accuracy,sensitivity,specificity,positive predictive value and negative predictive value of VTQ combined with TI-RADS in the diagnosis of thyroid nodules were calculated,and the ROC curve was drawn for analysis.Results:The accuracy,sensitivity and specificity of VTQ combined with TI-RADS were 93.04%(107/115),94.73%(36/38)and 92.20%(71/77).Conclusion:VTQ combined with TI-RADS can significantly improve the diagnostic rate of benign and malignant thyroid nodules,which has diagnostic value in the differential diagnosis of benign and malignant thyroid nodules.

关 键 词：甲状腺结节 超声检查 声触诊组织量化 TI-RADS 

分 类 号：R581.9[医药卫生—内分泌]