超声诊断甲状腺占位性病变的价值  

Value of Ultrasonography in the Diagnosis of Thyroid Space Occupying Lesions

作　　者：许立云 张振杰[1] 肖伟 徐连芸 韩冬[1] Xu Liyun;Zhang Zhenjie;Xiao Wei;Xu Lianyun;Han Dong(Beijing Changping District Hospital of Traditional Chinese Medicine,Beijing 102200,China)

机构地区：[1]北京市昌平区中医医院,北京102200

出　　处：《中外医药研究》2024年第32期157-159,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:探究超声诊断在甲状腺占位性病变中的临床价值。方法:选取2023年1—12月北京市昌平区中医医院收治的100例甲状腺占位性病变患者作为研究对象,均对其行超声诊断、手术病理诊断,以手术病理结果为诊断“金标准”,分析超声用于甲状腺占位性病变的诊断价值。结果:100例甲状腺占位性病变患者,经手术病理检查确诊良性甲状腺占位性病变86例,恶性甲状腺占位性病变14例;超声诊断检出良性85例、恶性15例,超声对甲状腺占位性病变的诊断准确率为97.00%,灵敏度为92.85%,特异度为97.67%。在超声声像表现中,恶性甲状腺占位性病变的超声声像表现以“实性”“不规则”“低回声”“毛糙边缘”“微小砂砾样钙化”“Ⅱ级和Ⅲ级血流信号”为主要特点,以上声像表现与良性甲状腺占位性病变存在统计学差异(P<0.05)。结论:超声诊断在甲状腺占位性病变诊断中具有临床应用价值,且能够通过声像表现鉴别良恶性质。Objective:To explore the clinical value of ultrasonography in the diagnosis of thyroid space occupying lesions.Methods:A total of one hundred patients with thyroid space occupying lesions admitted to Beijing Changping District Hospital of Traditional Chinese Medicine from January to December 2023 were selected as the study objects,and ultrasound diagnosis,surgical and pathological diagnosis were performed on them.The value of ultrasonography in the diagnosis of thyroid space occupying lesions was analyzed with the results of operation and pathology as the"gold standard".Results:In 100 patients with thyroid space occupying lesions,86 benign thyroid space occupying lesions and 14 malignant thyroid space occupying lesions were confirmed by operation and pathological examination;85 cases of benign and 15 cases of malignant lesions were detected by ultrasound diagnosis,the diagnostic accuracy,sensitivity and specificity of ultrasound for thyroid space occupying lesions were 97.00%,92.85%and 97.67%;in the ultrasonographic manifestations,the ultrasonographic manifestations of malignant thyroid space occupying lesions are mainly characterized by"solid","irregular","low echo","rough edge","small gravel calcification"and"gradeⅡandⅢblood flow signals",there were statistical differences between the above ultrasonographic manifestations and benign thyroid space occupying lesions(P<0.05).Conclusion:Ultrasonography diagnosis has clinical application value in the diagnosis of thyroid space occupying lesions,and can distinguish good and evil properties by ultrasonography.

关 键 词：甲状腺占位性病变 超声诊断 病理检查 声像表现 

分 类 号：R739.91[医药卫生—肿瘤]