临床和实验医学杂志
臨床和實驗醫學雜誌
림상화실험의학잡지
JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE
2015年
7期
603-605
,共3页
甲状腺微小癌%超声影像%诊断%甲状腺结节
甲狀腺微小癌%超聲影像%診斷%甲狀腺結節
갑상선미소암%초성영상%진단%갑상선결절
Thyroid microcarcinoma%Ultrasonography%Diagnosis%Thyroid nodules
目的：探究甲状腺微小癌的超声影像特点及应用价值。方法对2010年1月至2014年6月收治的97例甲状腺微小癌患者（122个癌结节）的超声诊断表现进行回顾性分析，并将其设为观察组。同时纳入100例同期被证实为良性结节患者（120个良性结节）设为对照组，对两组患者的超声影像特点进行比较。结果前后径与横径比≥1、淋巴结血流丰富、低回声、微小钙化等超声表现率，观察组均显著高于对照组，差异均有统计学意义（ P <0.05）。超声对97例甲状腺微小癌患者的诊断灵敏度、特异度、阳性预测值、阴性预测值分别为86.89%、83.33%、84.13%、86.21%。结论超声对甲状腺微小癌的敏感性高，有较准确的诊断率，具有重要的临床诊断及鉴别意义。
目的：探究甲狀腺微小癌的超聲影像特點及應用價值。方法對2010年1月至2014年6月收治的97例甲狀腺微小癌患者（122箇癌結節）的超聲診斷錶現進行迴顧性分析，併將其設為觀察組。同時納入100例同期被證實為良性結節患者（120箇良性結節）設為對照組，對兩組患者的超聲影像特點進行比較。結果前後徑與橫徑比≥1、淋巴結血流豐富、低迴聲、微小鈣化等超聲錶現率，觀察組均顯著高于對照組，差異均有統計學意義（ P <0.05）。超聲對97例甲狀腺微小癌患者的診斷靈敏度、特異度、暘性預測值、陰性預測值分彆為86.89%、83.33%、84.13%、86.21%。結論超聲對甲狀腺微小癌的敏感性高，有較準確的診斷率，具有重要的臨床診斷及鑒彆意義。
목적：탐구갑상선미소암적초성영상특점급응용개치。방법대2010년1월지2014년6월수치적97례갑상선미소암환자（122개암결절）적초성진단표현진행회고성분석，병장기설위관찰조。동시납입100례동기피증실위량성결절환자（120개량성결절）설위대조조，대량조환자적초성영상특점진행비교。결과전후경여횡경비≥1、림파결혈류봉부、저회성、미소개화등초성표현솔，관찰조균현저고우대조조，차이균유통계학의의（ P <0.05）。초성대97례갑상선미소암환자적진단령민도、특이도、양성예측치、음성예측치분별위86.89%、83.33%、84.13%、86.21%。결론초성대갑상선미소암적민감성고，유교준학적진단솔，구유중요적림상진단급감별의의。
Objective To explore the characteristics of imaging features of ultrasound for thyroid microcarcinoma and to evaluate the diag-nostic significance of application of ultrasound. Methods The clinical data of 97 patients with thyroid microcarcinoma(122 thyroid microcarci-noma nodules)during January 2010 to June 2014 in this hospital were retrospectively analyzed,and they were allocated in observation group. At the same time,100 patients with benign nodules(120 benign nodules)were selected as control group. The imaging features of ultrasound in these two groups were compared. Results The rate of ultrasound with aspect ratio ≥1,rich in blood supply,hypoechoes,microcalcification in patients of observation group were significantly higher than those of patients in control group,and the difference was statistically significant( P < 0. 05). The diagnostic sensitivity,specificity,positive predictive value and negative predictive value of ultrasonography in patients with thyroid microcarci-noma were 86. 89% ,83. 33% ,84. 13% and 86. 21% respectively. Conclusion Ultrasonography has higher sensitivity in diagnosis of thyroid microcarcinoma,and it has higher accurate diagnostic rate,hence it is important in diagnosis and differential diagnosis of this disease.
