常规超声与超声弹性成像联合超声引导下细针穿刺细胞学检查对甲状腺结节的诊断效能  

The role of conventional ultrasound and ultrasonic elastography combined with fine needle aspiration cytology under ultrasound-guided in the diagnosis of thyroid nodules

作　　者：尹娟 董娇楼 赵亚丽 周策勋 YIN Juan;DONG Jiaolou;ZHAO Yali;ZHOU Cexun(Department of Ultrasound,Dehong People's Hospital,Dehong,Yunnan,678400,China)

机构地区：[1]德宏州人民医院超声科,云南德宏678400

出　　处：《当代医学》2025年第1期108-111,共4页Contemporary Medicine

摘　　要：目的分析常规超声与超声弹性成像联合超声引导下细针穿刺细胞学检查对甲状腺结节的诊断价值。方法选取2021年5月至2022年10月于德宏州人民医院接受甲状腺结节诊断检查的120例(143个结节)患者作为研究对象,患者均接受常规超声、超声弹性成像与超声引导下细针穿刺细胞学检查,将常规超声联合超声弹性成像检查作为对照组,将常规超声与超声弹性成像联合超声引导下细针穿刺细胞学检查作为观察组。以病理检查结果作为金标准,比较两组诊断效能及漏诊、误诊情况。结果病理检查结果显示,143个甲状腺结节中阳性113个,阴性30个;对照组检查结果显示,阳性105个,阴性38个;观察组检查结果显示,阳性116个,阴性27个。观察组对甲状腺结节的诊断灵敏度、准确度均高于对照组,漏诊率低于对照组,差异有统计学意义(P<0.05)。结论常规超声与超声弹性成像联合超声引导下细针穿刺细胞学检查在甲状腺结节诊断中具有较高价值,可有效提高诊断结果的灵敏度与准确度,加强临床诊断效能,降低漏诊发生风险。Objective To analyze the role of conventional ultrasound and ultrasound elastography combined with ultrasound-guided fine needle aspiration cytology in the diagnosis of thyroid nodules.Methods 120 patients(143 nodules)who underwent thyroid nodule diagnostic examinations at Dehong People's Hospital from May 2021 to October 2022 were selected as the study subjects,all patients received conventional ultrasound,ultrasound elastography,and fine needle aspiration cytology examination under ultrasound-guided.Conventional ultrasound combined with ultrasound elastography examination was used as the control group,conventional ultrasound and ultrasound elastography combined with fine needle aspiration cytology examination under ultrasound-guided was used as the observation group.Using pathological examination results as the gold standard,the diagnostic efficacy and occurrence of missed or misdiagnosed events between the two groups were comared.Results Pathological examination results showed that out of 143 thyroid nodules,113 positive nodules and 30 negative nodules;the results of the control group examination showed that there were 105 positive nodules and 38 negative nodules;the observation group examination results showed 116 positive nodules and 27 negative nodules.The sensitivity and accuracy of thyroid nodules diagnosis in the observation group were higher than those in the control group,and the missed diagnosis rate was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion The conventional ultrasound and ultrasound elastography combined with fine needle aspiration cytology examination under ultrasound-guided has high value in the diagnosis of thyroid nodules,which can effectively improve the sensitivity and accuracy of diagnostic results,enhance clinical diagnostic efficiency,and reduce the risk of missed diagnosis.

关 键 词：甲状腺结节 常规超声 超声弹性成像 超声引导下细针穿刺细胞学检查 

分 类 号：R445.1[医药卫生—影像医学与核医学]