超声检查在甲状腺弥散性病变合并甲状腺癌诊断中的效果评价  

Evaluation of the effect of ultrasound in the diagnosis of diffuse thyroid lesions combined with thyroid cancer

作　　者：刘照峰 LIU Zhaofeng(Department of Ultrasound,Linyi Central Hospital,Linyi,Shandong 276400,China)

机构地区：[1]临沂市中心医院超声科,山东临沂276400

出　　处：《影像研究与医学应用》2025年第5期17-19,24,共4页Journal of Imaging Research and Medical Applications

摘　　要：目的:探讨超声检查在甲状腺弥散性病变合并甲状腺癌诊断中的应用价值。方法:选取2022年3月—2024年3月临沂市中心医院收治的疑似甲状腺弥散性病变合并甲状腺癌患者123例为研究对象。均行超声检查,以病理检查结果为金标准,分析超声诊断的效能。结果:共检出200个可疑病灶。经病理诊断,110个病灶为恶性,90个病灶为良性。超声检查准确检出109个恶性病灶及89个良性病灶。超声诊断的准确率为99.00%,灵敏度为99.09%,特异度为98.89%。诊断结果的一致性检验,Kappa值为0.962。良性病灶与恶性病灶的内部回声、边界、形态比较,差异有统计学意义(P<0.05)。不同性质病灶的超声参数比较,差异有统计学意义(P<0.05)。结论:超声检查在提高甲状腺弥散性病变合并甲状腺癌的诊断中具有重要价值。Objective To explore the value of ultrasound in the diagnosis of diffuse thyroid lesions combined with thyroid cancer,and to analyze the imaging characteristics of lesions of different natures.Methods A total of 123 patients suspected of having diffuse thyroid lesions with thyroid cancer,admitted to Linyi Central Hospital from March 2022 to March 2024,were selected as the study subjects.All patients underwent ultrasound,and the pathological examination results were used as the gold standard to analyze the diagnostic efficacy of ultrasound.Results A total of 200 suspicious lesions were detected.Pathological diagnosis confirmed 110 malignant lesions and 90 benign lesions.Ultrasound accurately identified 109 malignant lesions and 89 benign lesions.The accuracy of ultrasound was 99.00%,with a sensitivity of 99.09%and a specificity of 98.89%.The consistency test for diagnostic results yielded a Kappa value of 0.962.There were significant differences in internal echo,boundary and morphology between benign and malignant lesions(P<0.05).There were statistically significant differences in ultrasound parameters between benign lesions and malignant lesions of different types of lesions(P<0.05).Comparison of ultrasound parameters between benign and malignant lesions of different natures also showed statistically significant differences(P<0.05).Conclusion Ultrasound holds significant value in improving the diagnosis of diffuse thyroid lesions combined with thyroid cancer.

关 键 词：超声诊断 甲状腺弥散性病变 甲状腺癌 准确率 影像学表现 病灶性质 

分 类 号：R445.1[医药卫生—影像医学与核医学]