健康体检人群应用彩色高频超声检查诊断不同性质甲状腺结节的价值分析  

Value of Color High-frequency Ultrasound in the Diagnosis of Thyroid Nodules with Different Properties in Healthy People

作　　者：田东婷 TIAN Dong-ting(Department of Ultrasound,Gansu Baoshihua Hospital,Gansu 730060,China)

机构地区：[1]甘肃宝石花医院超声科,甘肃730060

出　　处：《影像技术》2024年第3期35-39,共5页Image Technology

摘　　要：目的:探讨健康体检人群应用彩色高频超声检查诊断不同性质甲状腺结节的价值。方法:选取于2021年2月-2023年1月在甘肃宝石花医院体检的体检人员100例作为研究对象。所有研究对象均接受彩色高频超声检查,以病理检查结果为金标准,分析体检人群甲状腺结节检出情况、病理学检查结果、超声影像学特征、超声检出结果及诊断效能。结果:100例体检者经超声检查结果显示甲状腺结节50例,检出率是50%,其中男性体检者45例,共检出甲状腺结节17例,检出率为37.78%。女性体检者55例,共检出甲状腺结节33例,检出率为60.00%,女性检出率高于男性检出率,差异有统计学意义(P<0.05);50例甲状腺结节患者进一步行病理检查检出良性结节(甲状腺胶质囊肿、微小结节性甲状腺肿、早期甲状腺炎、甲状腺微滤泡性腺瘤、甲状腺胶质结节伴增生性改变、增生性甲状腺结节)34例,恶性结节(滤泡状甲状腺癌、甲状腺髓样瘤、滤泡型甲状腺乳头状癌、甲状腺乳头状微小癌)16例;不同的超声影像学特征显示,边缘不规则、纵横比>1及微钙化在良、恶性甲状腺结节中差异较大;彩色高频超声检查检出33例良性、17例恶性,特异度为94.12%、灵敏度为93.75%、准确度为94.00%。结论:健康人群中甲状腺结节检出率较高,且女性高于男性,彩色高频超声诊断具有较高的诊断效能,边缘不规则、纵横比>1、微钙化等超声影像学特征对于鉴别甲状腺结节性质具有重要参考价值。Objective:To explore the value of color high-frequency ultrasound in the diagnosis of thyroid nodules with different properties in healthy people.Methods:100 physical examination personnel from February 2021 to January 2023 in Gansu Baoshihua Hospital were selected as the research object.All subjects were examined by color high-frequency ultrasound,and the results of pathological examination were the gold standard.The detection of thyroid nodules,pathological examination results,ultrasonic imaging characteristics,ultrasonic detection results and diagnostic efficiency in physical examination population were analyzed.Results:50 cases of thyroid nodules were detected by ultrasound in 100 cases,and the detection rate was 50%.Among them,17 cases of thyroid nodules were detected in 45 male physical examination subjects,and the detection rate was 37.78%.A total of 33 cases of thyroid nodules were detected in 55 cases of female physical examination,yielding a detection rate of 60.00%,and the detection rate of female was higher than that of male,with statistical significance(P<0.05).50 cases of thyroid nodules were further examined by pathological examination,and 34 cases of benign nodules(thyroid glial cyst,nodular goiter,early thyroiditis,thyroid follicular adenoma,thyroid glial nodules with proliferative changes and proliferative thyroid nodules),16 cases of malignant nodules(follicular thyroid carcinoma,medullary thyroid tumor,follicular papillary thyroid carcinoma,papillary thyroid microcarcinoma)were detected.Different ultrasonic imaging features show that irregular edges,aspect ratio>1 and microcalcification were quite different between benign and malignant thyroid nodules.33 cases were benign and 17 cases were malignant,with specificity of 94.12%,sensitivity of 93.75%and accuracy of 94.00%.Conclusion:The detection rate of thyroid nodules in healthy people is higher,especially in women than in men.Color high-frequency ultrasound diagnosis has high diagnostic efficiency,and the ultrasonic imaging features such as ir

关 键 词：彩色高频超声 甲状腺结节 诊断效能 

分 类 号：R445.1[医药卫生—影像医学与核医学]