CAJ | 학술논문

目的应用Logistic回归模型 ,筛选出甲状腺恶性结节的超声影像学特征危险因素. 方法 240例甲状腺结节患者经超声检查,并手术治疗有明确病理诊断的患者纳入本研究,将术前结节的超声特征引入Logistic回归模型, 筛选甲状腺恶性结节的超声影像学特征危险因素. 结果经过Logistic逐步回归模型分析,筛选出纵横比≥1、微钙化、低回声是甲状腺癌患病的影响因素. 本次研究同时发现微钙化可做为预测甲状腺癌淋巴转移的危险因素. 结论超声医生可以在临床诊断中,参考本研究筛选出的危险因素作为诊断甲状腺恶性结节及转移的辅助指标. 在未来,前瞻性的更大规模的同类研究仍有必要.
목적 응용Logistic회귀모형 ,사선출갑상선악성결절적초성영상학특정위험인소. 방법 240례갑상선결절환자경초성검사,병수술치료유명학병리진단적환자납입본연구,장술전결절적초성특정인입Logistic회귀모형, 사선갑상선악성결절적초성영상학특정위험인소. 결과 경과Logistic축보회귀모형분석,사선출종횡비≥1、미개화、저회성시갑상선암환병적영향인소. 본차연구동시발현미개화가주위예측갑상선암림파전이적위험인소. 결론 초성의생가이재림상진단중,삼고본연구사선출적위험인소작위진단갑상선악성결절급전이적보조지표. 재미래,전첨성적경대규모적동류연구잉유필요.
Objective To explore the ultrasonic imaging features of malignant thyroid nodules risk fac-tors by logistic regression.Methods Two hundreds and forty patients with thyroid nodules by ultrasonic examina-tion and surgical treatment for patients with definited pathological diagnosis were included in this study.The pre-operative sonographic features of the nodules were put into the logistic regression model to explore the risk factors of ultrasonic imaging features of malignant thyroid nodules.Results By logistic regression model analysis,hypoe-cho,taller than wide≥1 and micro calcification were found to be significantly statistical variables for thyroid car-cinoma.Micro calcification could predict thyroid cancer for lymph node metastases.Conclusoin During clinical diagnosis,hypoecho,taller than wide more than 1 and micro calcification could be used as indicators by ultrasound doctors to judge malignant thyroid nodules and lymph node metastases.Prospective larger similar research is still very necessary to explore the indicator for thyroid carcinoma in the future.