彩色多普勒超声对甲状腺肿瘤的诊疗价值分析  

The value of color Doppler ultrasound in diagnosis and treatment of thyroid tumors

作　　者：刘金平 Liu Jinping(Longquan Community Health Service Center in Tengzhou City,Zaozhuang,Shandong,277500,China)

机构地区：[1]滕州市龙泉社区卫生服务中心,山东枣庄277500

出　　处：《中国医学文摘（耳鼻咽喉科学）》2024年第6期17-19,13,共4页Chinese Medical Digest(Otorhinolaryngology)

摘　　要：目的研究彩色多普勒超声技术在甲状腺肿瘤诊疗中的作用与价值。方法于我院2020年1月-2022年1月间收治的疑似甲状腺肿瘤患者中选取80例作为研究对象,所有研究对象均接受彩色多普勒超声和手术病理检查,并以手术病理检查结果作为金标准,分析比较彩色多普勒超声和手术病理检查在甲状腺肿瘤诊断中的结果差异。结果①通过整理分析发现,彩色多普勒超声在甲状腺肿瘤诊断中的检出率为100.00%,但在良性甲状腺肿瘤诊断中的准确率为94.64%,在恶性甲状腺肿瘤诊断中的准确率为88.89%,在甲状腺肿瘤良恶性诊断中的灵敏度、特异度和准确度分别为72.14%、70.83%、78.75%;②通过对比彩色多普勒超声和手术病理在甲状腺肿瘤诊断中的结果发现,两种检查方式的准确度差异无意义(P>0.05);③通过比较良恶性甲状腺肿瘤患者的各项血动力学指标差异发现,良性甲状腺肿瘤患者的收缩期峰值流速、阻力指数均低于恶性甲状腺肿瘤患者,舒张末期血流速度则要高于恶性甲状腺肿瘤患者,P<0.05。结论彩色多普勒超声在甲状腺肿瘤诊断中的效果较佳,能通过分析患者的肿瘤血流动力学指标,较为准确的鉴别良恶性甲状腺肿瘤,从而能够为医生提供更多的诊疗信息,从而有助于患者的诊断和治疗,应用价值较高。Objective To study the role and value of color Doppler ultrasound in the diagnosis and treatment of thyroid tumors.Methods Eighty patients with suspected thyroid tumors admitted to our hospital from January 2020 to January 2022 were selected as the study subjects.All the study subjects received color Doppler ultrasound and surgical pathology.The results of surgical pathology were used as the gold standard to analyze and compare the results of color Doppler ultrasound and surgical pathology in the diagnosis of thyroid tumors.Results Through sorting and analysis,the detection rate of color Doppler ultrasound in the diagnosis of thyroid tumors was 100.00%,but the accuracy rate in the diagnosis of benign thyroid tumors was 94.64%,the accuracy rate in the diagnosis of malignant thyroid tumors was 88.89%,and the sensitivity,specificity and accuracy in the diagnosis of benign and malignant thyroid tumors were 72.14%,70.83%and 78.75%respectively;②By comparing the results of color Doppler ultrasound and surgical pathology in the diagnosis of thyroid tumors,it was found that there was no significant difference in the accuracy of the two examination methods(P>0.05);By comparing various hemodynamic indexes of patients with benign and malignant thyroid tumors,it was found that the peak systolic flow rate and resistance index of patients with benign thyroid tumors were lower than those of patients with malignant thyroid tumors,while the end diastolic flow rate was higher than those of patients with malignant thyroid tumors,P<0.05.Conclusion Color Doppler ultrasound has a better effect in the diagnosis of thyroid tumors.It can identify benign and malignant thyroid tumors more accurately by analyzing the tumor hemodynamic indicators of patients,so as to provide more diagnosis and treatment information for doctors,thus contributing to the diagnosis and treatment of patients,with high application value.

关 键 词：彩色多普勒超声 甲状腺肿瘤 诊疗价值 

分 类 号：R73[医药卫生—肿瘤]