超微血流成像联合甲状腺成像报告和数据系统对桥本甲状腺炎背景下甲状腺良恶性结节检测效果的价值研究  

Value of ultramicro-flow imaging combined with Thyroid Imaging,Reporting and Data System in the detection of benign and malignant thyroid nodules in Hashimoto’s thyroiditis

作　　者：王娜[1] 刘晓真[1] 叶木奇[1] 刘少中[1] 谢轶峰[1] 戴玉娟[1] 陈叶 Wang Na;Liu Xiaozhen;Ye Muqi;Liu Shaozhong;Xie Yifeng;Dai Yujuan;Chen Ye(Department of Ultrasonics,Zhongshan City People’s Hospital,Zhongshan 528403,China;Department of Pathology,Zhongshan City People’s Hospital,Zhongshan 528403,China)

机构地区：[1]广东省中山市人民医院超声影像科,528403 [2]广东省中山市人民医院病理科,528403

出　　处：《中华普通外科学文献（电子版）》2024年第4期287-290,共4页Chinese Archives of General Surgery(Electronic Edition)

基　　金：中山市卫生局基金项目(2021J081)。

摘　　要：目的探讨桥本甲状腺炎(HT)背景下采用超微血流成像(SMI)联合甲状腺成像报告和数据系统(TI-RADS)检测甲状腺良恶性结节的效果。方法回顾性收集2021年6月至2022年6月中山市人民医院收治的HT甲状腺结节患者66例,均实施SMI联合TI-RADS检查,以病理结果作为评估依据,分析结节的血供情况,比较SMI、TI-RADS及联合诊断的准确性、特异度、敏感度、阴性预测值及阳性预测值。结果66例患者中检测出甲状腺结节97个,其中良性82个,恶性15个,结节血供为周边血管、内部血管、穿支血管、混合血管。SMI、TI-RADS及联合检测良恶性结节对比,SMI恶性检出率为86.67%(13/15)、良性检出率为81.71%(67/82);TI-RADS分别为80.00%(12/15)、84.15%(69/82);联合检测分别为93.33%(14/15)、97.56%(80/82);联合诊断的准确性、特异度、阳性预测值较高(P<0.05);敏感度、阴性预测值比较差异无统计学意义。结论SMI联合TI-RADS应用于HT背景下甲状腺结节良恶性诊断具有较高的应用价值,其诊断准确性、特异度明显提升,为临床诊疗提供可靠依据。Objective To investigate the effect of ultramicro-flow imaging(SMI)combined with Thyroid Imaging,Reporting and Data System(TI-RADS)in the detection of benign and malignant thyroid nodules in Hashimoto’s thyroiditis(HT).Methods Sixty-six patients with HT thyroid nodules admitted to Zhongshan City People’s Hospital from June 2021 to June 2022 were retrospectively collected.SMI combined with TI-RADS examination were performed for all patients.The blood supply of nodules was analyzed based on pathological findings.The accuracy,specificity,sensitivity,negative predictive value and positive predictive value of SMI,TI-RADS and combined diagnosis were compared.Results 97 thyroid nodules were detected in the 66 patients,of which 82 were benign and 15 were malignant.The blood supply of nodules was peripheral vessels,internal vessels,perforating vessels and mixed vessels.The detection rate of benign and malignant nodules by SMI,TI-RADS and combined detection was 86.67%(13/15)and 81.71%(67/82).The TI-RADS were 80.00%(12/15)and 84.15%(69/82),respectively.The combined detection was 93.33%(14/15)and 97.56%(80/82),respectively.The accuracy,specificity and positive predictive value of combined diagnosis were significantly higher(P<0.05).There were no significant differences in sensitivity and negative predictive value.Conclusion SMI combined with TI-RADS has high application value in the diagnosis of benign and malignant thyroid nodules in the background of HT,and its diagnostic accuracy and specificity are significantly improved,providing reliable basis for clinical diagnosis and treatment.

关 键 词：超微血流成像 甲状腺成像报告和数据系统 桥本甲状腺炎 甲状腺结节 良恶性 

分 类 号：R581.4[医药卫生—内分泌]