CAJ | 학술논문

目的探讨超声在甲状腺结节鉴别诊断中的应用价值.方法对本院2010年至2011年甲状腺结节患者87例进行超声检查,其中良性结节23例,恶性结节64例,对甲状腺良恶性结节的内部回声、边界、大小、形态、微钙化、血液供应和纵横比等超声指标采用单因素及多因素非条件Logistic回归分析,找出对判断良恶性甲状腺结节最具诊断价值的超声指标.结果甲状腺恶性结节超声特征多为低回声、边界不清、形态不规则、微钙化、高血供、纵横比＞1；良性结节的超声特征多为高、等、混合回声及无回声、边界清、形态规则、低血供、纵横比≤1.两组超声指标比较差异均有统计学意义(P＜0.05).经多因素非条件Logistic回归分析显示,形态及微钙化超声影像对判断良恶性甲状腺结节最具有诊断价值,EXP(B)分别是20.12,19.14.结论超声检查有助于甲状腺结节的诊断,有助于区分甲状腺结节的良、恶性,为临床诊治提供依据.
목적 탐토초성재갑상선결절감별진단중적응용개치.방법 대본원2010년지2011년갑상선결절환자87례진행초성검사,기중량성결절23례,악성결절64례,대갑상선량악성결절적내부회성、변계、대소、형태、미개화、혈액공응화종횡비등초성지표채용단인소급다인소비조건Logistic회귀분석,조출대판단량악성갑상선결절최구진단개치적초성지표.결과 갑상선악성결절초성특정다위저회성、변계불청、형태불규칙、미개화、고혈공、종횡비＞1；량성결절적초성특정다위고、등、혼합회성급무회성、변계청、형태규칙、저혈공、종횡비≤1.량조초성지표비교차이균유통계학의의(P＜0.05).경다인소비조건Logistic회귀분석현시,형태급미개화초성영상대판단량악성갑상선결절최구유진단개치,EXP(B)분별시20.12,19.14.결론 초성검사유조우갑상선결절적진단,유조우구분갑상선결절적량、악성,위림상진치제공의거.
Objective To explore the diagnostic value of ultrasound in thyroid nodular disease.Methods Eighty-seven patients with thyroid nodule in hospital from 2010-2011 were taken ultrasound examination,including 23 cases with benign nodules and 64 cases with malignant nodules.Univariate analysis and mutivariate Logistic regression analysis were taken to test the ultrasonic index (internal echo,boundary,size,shape,microcalcifications,and aspect ratio) for discovery of the best diagnostic ultrasonic index to identify benign and malignant nodules.Results The ultrasound in the patients with malignant thyroid nodules showed the hypoecho,unclear border,irregular shape,microcalcifications,low blood supply,the aspect ratio ＞ 1.The ultrasound in the patients with benign thyroid nodules showed high or equal echo,clear border,regular shape,high blood supply,and the aspect ratio≤ 1.The ultrasonic indices between two groups had statistically significant difference (P ＜ 0.05).The shape and microcalcifications were the best ultrasonic diagnostic index to indentify the benign and malignant nodules with an EXP(B) 20.12 and 19.14,respectively.Conclusions The ultrasound is helpful in the diagnosis of thyroid nodular disease and identification of benign and malignant thyroid nodules.The ultrasonic images are the basic data for the clinical diagnosis of thyroid nodules.