国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2014年
11期
1598-1600
,共3页
甲状腺结节%纵横比%超声诊断
甲狀腺結節%縱橫比%超聲診斷
갑상선결절%종횡비%초성진단
Thyroid nodules%Aspect ratio%Ultrasound diagnosis
目的 探讨甲状腺结节的最大纵断面纵横比(A/TL)与最大横断面纵横比(A/TC)在甲状腺癌诊断中的价值.方法 回顾性分析2012年5月至2013年4月超声诊断有甲状腺结节并行病理活检的86例患者.根据超声结果计算出各结节的A/TL及A/TC数值,并与病理诊断的准确性进行比较;同时比较分析纵横比在不同直径的甲状腺癌中的差异.结果 纵横比(A/T)≥1者的恶性结节所占比例明显高于A/T＜1者,且差异有统计学意义(P＜0.05).在直径≤1 cm的结节中,A/TC≥1的恶性结节比例明显高于A/TL≥1,差异具有统计学意义(P＜0.05).而在1cm＜直径≤2 cm、直径＞2 cm的结节中,A/TC≥1与A/T≥1的恶性结节所占的比例差异无统计学意义(P＞0.05).结论 甲状腺结节的纵横比,特别是最大横断面纵横比,在甲状腺癌的判断中具有一定的诊断价值.但在应用彩超诊断甲状腺结节良恶性的同时,也还应结合其他超声影像学因素.
目的 探討甲狀腺結節的最大縱斷麵縱橫比(A/TL)與最大橫斷麵縱橫比(A/TC)在甲狀腺癌診斷中的價值.方法 迴顧性分析2012年5月至2013年4月超聲診斷有甲狀腺結節併行病理活檢的86例患者.根據超聲結果計算齣各結節的A/TL及A/TC數值,併與病理診斷的準確性進行比較;同時比較分析縱橫比在不同直徑的甲狀腺癌中的差異.結果 縱橫比(A/T)≥1者的噁性結節所佔比例明顯高于A/T＜1者,且差異有統計學意義(P＜0.05).在直徑≤1 cm的結節中,A/TC≥1的噁性結節比例明顯高于A/TL≥1,差異具有統計學意義(P＜0.05).而在1cm＜直徑≤2 cm、直徑＞2 cm的結節中,A/TC≥1與A/T≥1的噁性結節所佔的比例差異無統計學意義(P＞0.05).結論 甲狀腺結節的縱橫比,特彆是最大橫斷麵縱橫比,在甲狀腺癌的判斷中具有一定的診斷價值.但在應用綵超診斷甲狀腺結節良噁性的同時,也還應結閤其他超聲影像學因素.
목적 탐토갑상선결절적최대종단면종횡비(A/TL)여최대횡단면종횡비(A/TC)재갑상선암진단중적개치.방법 회고성분석2012년5월지2013년4월초성진단유갑상선결절병행병리활검적86례환자.근거초성결과계산출각결절적A/TL급A/TC수치,병여병리진단적준학성진행비교;동시비교분석종횡비재불동직경적갑상선암중적차이.결과 종횡비(A/T)≥1자적악성결절소점비례명현고우A/T＜1자,차차이유통계학의의(P＜0.05).재직경≤1 cm적결절중,A/TC≥1적악성결절비례명현고우A/TL≥1,차이구유통계학의의(P＜0.05).이재1cm＜직경≤2 cm、직경＞2 cm적결절중,A/TC≥1여A/T≥1적악성결절소점적비례차이무통계학의의(P＞0.05).결론 갑상선결절적종횡비,특별시최대횡단면종횡비,재갑상선암적판단중구유일정적진단개치.단재응용채초진단갑상선결절량악성적동시,야환응결합기타초성영상학인소.
Objective To investigate the value of thyroid nodules maximum vertical section aspect ratio (A/TL) and the maximum cross-sectional aspect ratio (A/TC) in the diagnosis of thyroid cancer.Methods A retrospective analysis was carried out to study 86 patients with thyroid nodule from May 2012 to April 2013 treated in our hospital,both diagnosed by ultrasound and biopsy,according to ultrasound results,we calculated A/TL and A/TC values of each nodule,and compared the accuracy with pathological diagnosis,meanwhile contrasted the differences of the aspect ratio in the various of thyroid cancer diameters.Results The proportion of malignant nodules which A/T ≥ 1 was significantly higher than that of A/T＜1,and the difference was statistically significant (P ＜ 0.05).In the nodules diameter ≤ 1 cm,malignant nodules of A/TC ≥ 1 were significantly higher than the proportion of A/TL ≥ 1 (P ＜ 0.05).While the proportion of malignant nodules,grouped by A/TC ≥ 1 or A/TL ≥ 1,had no significant difference in diameter ＞1 cm (P ＞ 0.05).Conclusion The aspect ratio of thyroid nodules,especially the largest cross-sectional aspect ratio,has a certain value in the diagnosis of thyroid cancer.However,it also should be combined with other ultrasound imaging factors to judge benign or malignant in thyroid nodules.
