CAJ | 학술논문

目的探寻可以预测甲状腺结节良恶性的术前检查指标，更加准确地预测甲状腺结节的病理类型，从而减少良性甲状腺结节的手术率。方法回顾性分析2011年1月至12月间接受甲状腺结节手术的病例资料，单因素和Logistic多因素分析术前临床指标和术后病理结果，确定可以预测甲状腺结节良恶性的危险因素。结果恶性结节在所有手术结节中的比例为22%。单因素分析和多因素分析显示，超声检查结果如单发结节、形态不规则或纵径大于横径的结节、混合回声或低回声、细小钙化、边界不清和血供丰富与恶性甲状腺结节相关。结论甲状腺恶性结节在手术结节中所占的比例较小；B超对甲状腺结节的诊断指标对结节良恶性的判断有意义；合理利用这些指标可以很好地判断甲状腺结节的病理类型，从而减少良性甲状腺结节的手术。
목적탐심가이예측갑상선결절량악성적술전검사지표，경가준학지예측갑상선결절적병리류형，종이감소량성갑상선결절적수술솔。방법회고성분석2011년1월지12월간접수갑상선결절수술적병례자료，단인소화Logistic다인소분석술전림상지표화술후병리결과，학정가이예측갑상선결절량악성적위험인소。결과악성결절재소유수술결절중적비례위22%。단인소분석화다인소분석현시，초성검사결과여단발결절、형태불규칙혹종경대우횡경적결절、혼합회성혹저회성、세소개화、변계불청화혈공봉부여악성갑상선결절상관。결론갑상선악성결절재수술결절중소점적비례교소；B초대갑상선결절적진단지표대결절량악성적판단유의의；합리이용저사지표가이흔호지판단갑상선결절적병리류형，종이감소량성갑상선결절적수술。
Objective To identify the risk factors that can predict the pathological diagnosis of thyroid nodules before operation, and to reduce the operation of benign nodules in all surgical nodules. Methods All consecutive patients with thyroid nodules who underwent surgery and had pathological diagnosis in 2011 were identified. Univariate and logistic multivariate analysis were carried out to exam the risk of malignant thyroid nodules. Results The proportion of pathologically malignant nodules in all nodules was 22%. Univariate and logistic multivariate analysis revealed that singles, shape, calcification, echo texture, margin and vascularity were associated with malignancy. Conclusions The proportion of pathologically malignant nodules in surgical nodules is relatively low,some ultrasound characteristics of thyroid nodules, called risk factors, were significant in predicting pathological diagnosis. Rational use of these risk factors can predict pathological diagnosis more accurately and reduce the proportion of benign nodules in all surgical nodules.