中国民康医学
中國民康醫學
중국민강의학
MEDICAL JOURNAL OF CHINSEE PEOPLE HEALTH
2014年
13期
10-12
,共3页
甲状腺%肿瘤%多层螺旋CT%彩超%对比研究
甲狀腺%腫瘤%多層螺鏇CT%綵超%對比研究
갑상선%종류%다층라선CT%채초%대비연구
Thyroid%Carcinoma%Multi-slice spiral CT%Color Doppler ultrasound%Comparative study
目的：探讨多层螺旋CT和彩色多普勒超声(彩超)单独或联合使用对未触及肿块甲状腺癌早期诊断的实用价值。方法：215例未触及肿块的可疑甲状腺疾病患者,均行彩超检查和螺旋CT扫描,对其单独或联合使用的结果进行分析,并与病理结果进行对照。结果：彩超、螺旋CT和两者串联、并联检测未触及肿块甲状腺癌的灵敏度分别为81.3%、81.3%、66.1%和95.5%,特异度分别为88.3%、85.4%、90.3%和84.5%,准确率分别为88.8%、83.3%、77.7%和90.2%,假阴性率分别为18.8%、18.8%、33.9%和4.5%。彩超、螺旋CT串联检测未触及肿块甲状腺癌的准确率低于病理结果(P<0.05),彩超、螺旋CT并联的准确率分别与病理结果比较,差异均无统计学意义(P 均>0.05),但并联的灵敏度高于彩超、螺旋CT单独使用或串联使用(P<0.01,P<0.01,P<0.001),并且假阴性率最低。结论：彩超和螺旋CT并联应用可作为未触及肿块甲状腺癌的有效筛查和诊断方法。
目的：探討多層螺鏇CT和綵色多普勒超聲(綵超)單獨或聯閤使用對未觸及腫塊甲狀腺癌早期診斷的實用價值。方法：215例未觸及腫塊的可疑甲狀腺疾病患者,均行綵超檢查和螺鏇CT掃描,對其單獨或聯閤使用的結果進行分析,併與病理結果進行對照。結果：綵超、螺鏇CT和兩者串聯、併聯檢測未觸及腫塊甲狀腺癌的靈敏度分彆為81.3%、81.3%、66.1%和95.5%,特異度分彆為88.3%、85.4%、90.3%和84.5%,準確率分彆為88.8%、83.3%、77.7%和90.2%,假陰性率分彆為18.8%、18.8%、33.9%和4.5%。綵超、螺鏇CT串聯檢測未觸及腫塊甲狀腺癌的準確率低于病理結果(P<0.05),綵超、螺鏇CT併聯的準確率分彆與病理結果比較,差異均無統計學意義(P 均>0.05),但併聯的靈敏度高于綵超、螺鏇CT單獨使用或串聯使用(P<0.01,P<0.01,P<0.001),併且假陰性率最低。結論：綵超和螺鏇CT併聯應用可作為未觸及腫塊甲狀腺癌的有效篩查和診斷方法。
목적：탐토다층라선CT화채색다보륵초성(채초)단독혹연합사용대미촉급종괴갑상선암조기진단적실용개치。방법：215례미촉급종괴적가의갑상선질병환자,균행채초검사화라선CT소묘,대기단독혹연합사용적결과진행분석,병여병리결과진행대조。결과：채초、라선CT화량자천련、병련검측미촉급종괴갑상선암적령민도분별위81.3%、81.3%、66.1%화95.5%,특이도분별위88.3%、85.4%、90.3%화84.5%,준학솔분별위88.8%、83.3%、77.7%화90.2%,가음성솔분별위18.8%、18.8%、33.9%화4.5%。채초、라선CT천련검측미촉급종괴갑상선암적준학솔저우병리결과(P<0.05),채초、라선CT병련적준학솔분별여병리결과비교,차이균무통계학의의(P 균>0.05),단병련적령민도고우채초、라선CT단독사용혹천련사용(P<0.01,P<0.01,P<0.001),병차가음성솔최저。결론：채초화라선CT병련응용가작위미촉급종괴갑상선암적유효사사화진단방법。
Objective:To evaluate the values of single or combined use of multi-slice spiral CT and color Doppler ultrasound in the early detection of non-palpable thyroid carcinoma. Methods:215 patients with non-palpable mass suspected thyroid diseases were detected by single or combined use of spiral CT and color Doppler ultrasound, and then the pathological results were compared. Re-sults:The sensitivities of color Doppler ultrasound, spiral CT, series connection of the above two, and parallel connection of the above two in the detection of non-palpable thyroid carcinoma were 81. 3%, 81. 3%, 66. 1% and 95. 5%, respectively; their specificities were 88. 3%, 85. 4%, 90. 3% and 84. 5%, respectively;their accuracies were 88. 8%, 83. 3%, 77. 7% and 90. 2%, respectively;and the false negative rates were 18. 8%, 18. 8%, 33. 9% and 4. 5%, respectively. The accuracy of the series connection of color Doppler ultrasound and spiral CT was lower than the histopathology result (P<0. 05), however, there were no statistical differences in the accuracy among the parallel connection of color Doppler ultrasound and spiral CT, color Doppler ultrasound, spiral CT and the his-topathology result (all P>0. 05). The sensitivity of the parallel connection of color Doppler ultrasound and spiral CT was higher than that of the series connection of color Doppler ultrasound and spiral CT, color Doppler ultrasound, and spiral CT (P<0. 01, P<0. 01, P<0. 001) and its false negative rate was the lowest. Conclusions:The parallel connection of color Doppler ultrasound and spiral CT can be an effective method for screening and diagnosing of non-palpable thyroid carcinoma.
