转化医学杂志
轉化醫學雜誌
전화의학잡지
TRANSLATIONAL MEDICINE JOURNAL
2015年
4期
226-228
,共3页
钙化%肿瘤%甲状腺%鉴别诊断
鈣化%腫瘤%甲狀腺%鑒彆診斷
개화%종류%갑상선%감별진단
Calcification%Neoplasm%Thyroid%Differential diagnosis
目的：评价超声探测甲状腺结节内微钙化和粗钙化在甲状腺癌中的诊断价值。方法142例甲状腺疾病患者，通过甲状腺高频超声检查，观察甲状腺结节内钙化表现，并与术后组织病理结果相对照。结果142例甲状腺疾病患者中，共152个结节，53个为甲状腺癌，钙化42个（79．25％），其中微钙化39个（73．58％）、粗钙化3个（5．66％）；99个甲状腺良性结节中，钙化15个（15．15％），其中微钙化8个（8．08％）、粗钙化7个（7．07％）。微钙化对甲状腺癌的敏感性为73．58％、特异性为91．92％，粗钙化的敏感性为5．66％、特异性为92．93％。结论微钙化可作为筛查甲状腺癌的特异性指标，而粗钙化对判断甲状腺结节的良、恶性意义不大。
目的：評價超聲探測甲狀腺結節內微鈣化和粗鈣化在甲狀腺癌中的診斷價值。方法142例甲狀腺疾病患者，通過甲狀腺高頻超聲檢查，觀察甲狀腺結節內鈣化錶現，併與術後組織病理結果相對照。結果142例甲狀腺疾病患者中，共152箇結節，53箇為甲狀腺癌，鈣化42箇（79．25％），其中微鈣化39箇（73．58％）、粗鈣化3箇（5．66％）；99箇甲狀腺良性結節中，鈣化15箇（15．15％），其中微鈣化8箇（8．08％）、粗鈣化7箇（7．07％）。微鈣化對甲狀腺癌的敏感性為73．58％、特異性為91．92％，粗鈣化的敏感性為5．66％、特異性為92．93％。結論微鈣化可作為篩查甲狀腺癌的特異性指標，而粗鈣化對判斷甲狀腺結節的良、噁性意義不大。
목적：평개초성탐측갑상선결절내미개화화조개화재갑상선암중적진단개치。방법142례갑상선질병환자，통과갑상선고빈초성검사，관찰갑상선결절내개화표현，병여술후조직병리결과상대조。결과142례갑상선질병환자중，공152개결절，53개위갑상선암，개화42개（79．25％），기중미개화39개（73．58％）、조개화3개（5．66％）；99개갑상선량성결절중，개화15개（15．15％），기중미개화8개（8．08％）、조개화7개（7．07％）。미개화대갑상선암적민감성위73．58％、특이성위91．92％，조개화적민감성위5．66％、특이성위92．93％。결론미개화가작위사사갑상선암적특이성지표，이조개화대판단갑상선결절적량、악성의의불대。
Objective To assess the significance of thyroid microcalcification and macrocal-cification of ultrasonography (US) in the differential diagnosis of thyroid nodules.Methods A total of 142 patients with thyroid nodules included in this study.The calcification of the thyroid nodules observed by US were recorded and compared with the data of postoperative pathological results.Re-sults A total of 152 thyroid nodules were found in 142 patients.Postoperative histopathologic re-sults revealed 99 nodules were benign and 53 were malignant.There were 42 (79.25%) nodules with calcification in 53 malignant nodules, including 39 (73.58%) microcalcification nodules and 3 (5.66%) macrocalcification nodules.There were 15 (15.15%) nodules with calcification in 99 be-nign nodules, including 8 (8.08%) microcalcification nodules and 7 (7.07%) macrocalcification nodules.The sensitivity and specificity of microcalcification in diagnosis of thyroid cancer were 73.58% and 91.92% respectiviely.The sensitivity and specificity of macrocalcification in diagnosis of thyroid cancer were 5.66% and 92.93% respectively.Conclusion Microcalcification by US could be used to predict the risk of malignant thyroid nodules, while macrocalcification could not.
