超声检查对甲状腺乳头状癌的诊断效果  

Diagnostic Effect of Ultrasound Examination on Papillary Thyroid Carcinoma

作　　者：李献国[1] LI Xian'guo(Department of Ultrasound,Jinxiang County People's Hospital,Jining 272200,Shandong Province,China)

机构地区：[1]山东省金乡县人民医院超声科,山东济宁272200

出　　处：《中国实用乡村医生杂志》2024年第5期1-3,7,共4页Chinese Practical Journal of Rural Doctor

摘　　要：目的 探讨超声检查对甲状腺乳头状癌的临床诊断效果。方法 选取2022年11月-2023年11月在山东省金乡县人民医院进行诊断的50例疑似甲状腺乳头状癌的患者为研究对象,所有患者均开展超声检查,以病理检查结果为“金标准”,分析超声诊断甲状腺乳头状癌的准确性、特异度及敏感度,对比良恶性病灶的超声声像图特征。结果 超声检查诊断甲状腺乳头状癌的准确性、特异度及敏感度分别为88.00%(44/50)、66.67%(4/6)、90.91%(40/44)。超声检查甲状腺乳头状癌病灶的声像图特征为,结节微小钙化(53.95%)、低回声(63.16%)、病灶边界不清晰(60.53%)、纵横比>1(65.79%)占比均高于非甲状腺乳头状癌,差异有统计学意义(P<0.05)。结论 超声检查对甲状腺乳头状癌具有较高的诊断准确性及敏感度,具有一定的声像图特征表现,但其诊断特异度相对较低,因此,临床仍需结合患者具体情况及其他辅助检查等做出准确诊断,避免误诊、漏诊的发生。Objective To explore the clinical diagnostic effect of ultrasound examination on papillary thyroid carcinoma.Methods Ultrasound examination was conducted on 50 patients suspected of papillary thyroid carcinoma at Jinxiang County People's Hospital in Shandong Province from November 2022 to November 2023.The postoperative pathological examination results were used as the"gold standard"to analyze the accuracy,specificity,and sensitivity of ultrasound diagnosis,and to compare the ultrasound imaging characteristics of benign and malignant lesions.ResultsThe accuracy,specificity,and sensitivity of ultrasound examination in diagnosing papillary thyroid carcinoma were 88.00%(44/50),66.67%(4/6),and 90.91%(40/44),respectively.The ultrasound imaging features of papillary thyroid carcinoma lesions showed that the proportion of microcalcifications(53.95%),low echogenicity(63.16%),unclear lesion boundaries(60.53%),and aspect ratio>1(65.79%)in the nodules was significantly higher than that in non-papillary thyroid carcinoma(P<0.05).Conclusion Ultrasound examination has high diagnostic accuracy and sensitivity for papillary thyroid carcinoma,with certain ultrasound imaging features,but its diagnostic specificity is relatively low.Therefore,in clinical practice,accurate diagnosis still needs to be made by combining examination and other auxiliary examinations to avoid misdiagnosis and missed diagnosis.

关 键 词：甲状腺乳头状癌 诊断 超声 准确性 病理检查 声像图特征 

分 类 号：R44[医药卫生—诊断学]