CT在甲状腺结节良恶性诊断中的应用价值  

The application value of CT in the diagnosis of benign and malignant thyroid nodules

作　　者：马敏 Ma Min(Yicheng District People's Hospital of Zaozhuang City,Shandong,Zaozhuang,277000,China)

机构地区：[1]枣庄市峰城区人民医院,山东枣庄277000

出　　处：《中国医学文摘(耳鼻咽喉科学)》2025年第2期121-123,共3页Chinese Medical Digest(Otorhinolaryngology)

摘　　要：目的分析CT在甲状腺结节良恶性诊断中的效果,为此类患者的临床诊断工作提供参考。方法筛选本院在2022年8月-2023年8月期间接受治疗且符合研究标准的128例甲状腺结节(经病理诊断确诊)患者为研究主体,全部患者均实施CT检查,参考病理诊断分析CT检查的诊断结果、诊断效能,同时分析良恶性结节CT扫描特征。结果病理诊断结果显示,良性结节72例,恶性结节56例;CT检查显示,良性结节64例,恶性结节46例;诊断准确性85.94%;CT诊断灵敏度为88.89%,特异度为82.14%,CT检查诊断准确性、灵敏度、特异度均低于病理检查,差异存在统计学价值(P<0.05);良恶性结节在形态、钙化、边界方面均存在统计学价值(P<0.05),良恶性结节在囊变方面无统计学价值(P>0.05)。结论对甲状腺结节患者而言,CT检查具有较高的诊断准确性、灵敏度和特异度,可良好鉴别良恶结节,能够为临床治疗提供科学的理论依据,对提升治疗效果具有重要价值。Objective To analyze the effectiveness of CT in the diagnosis of benign and malignant thyroid nodules,and provide reference for clinical diagnosis of such patients.Method 128 patients with thyroid nodules(confirmed by pathological diagnosis)who received treatment in our hospital between August 2022 and August 2023 and met the research criteria were selected as the study subjects.All patients underwent CT scans,and the diagnostic results and efficacy of CT scans were analyzed based on pathological diagnosis.The CT scan characteristics of benign and malignant nodules were also analyzed.Result The pathological diagnosis showed 72 cases of benign nodules and 56 cases of malignant nodules;CT examination showed 64 cases of benign nodules and 46 cases of malignant nodules;Diagnostic accuracy of 85.94%;The sensitivity and specificity of CT diagnosis were 88.89% and 82.14%,respectively.The accuracy,sensitivity,and specificity of CT examination were lower than those of pathological examination,and the difference was statistically significant(P<0.05);Benign and malignant nodules have statistical value in terms of morphology,calcification,and boundaries(P<0.05),while benign and malignant nodules have no statistical value in cystic changes(P>0.05).Conclusion For patients with thyroid nodules,CT examination has high diagnostic accuracy,sensitivity,and specificity,and can effectively distinguish between benign and malignant nodules.It can provide scientific theoretical basis for clinical treatment and has important value in improving treatment effectiveness.

关 键 词：CT 甲状腺结节 良恶性诊断 应用价值 

分 类 号：R581[医药卫生—内分泌]