CAJ | 학술논문

目的：探讨超声引导下粗针穿刺活检(US-CNB)对甲状腺超声影像报告和数据系统(TI-RADS)4类甲状腺结节的诊断价值。方法分析甲状腺患者的超声特征,根据 TI-RADS 对甲状腺结节的恶性风险进行评估,对177例患者 TI-RADS 4a、4b 和4c 类共189个结节结节均行 US-CNB 检查,其组织学结果与术后病理结果进行对照研究。结果US-CNB 组织学诊断与术后病理结果差别无统计学意义(P >0.05)；TI-RADS 4类甲状腺结节的灵敏度、特异度、阳性预测值、阴性预测值及准确率分别为95.7%,97.8%,97.8%,95.7%和96.7%。结论US-CNB 检查对 TI-RADS 4类甲状腺结节有较高的诊断价值,能有效提高术前诊断的准确性。
목적：탐토초성인도하조침천자활검(US-CNB)대갑상선초성영상보고화수거계통(TI-RADS)4류갑상선결절적진단개치。방법분석갑상선환자적초성특정,근거 TI-RADS 대갑상선결절적악성풍험진행평고,대177례환자 TI-RADS 4a、4b 화4c 류공189개결절결절균행 US-CNB 검사,기조직학결과여술후병리결과진행대조연구。결과US-CNB 조직학진단여술후병리결과차별무통계학의의(P >0.05)；TI-RADS 4류갑상선결절적령민도、특이도、양성예측치、음성예측치급준학솔분별위95.7%,97.8%,97.8%,95.7%화96.7%。결론US-CNB 검사대 TI-RADS 4류갑상선결절유교고적진단개치,능유효제고술전진단적준학성。
Objective To evaluate the diagnostic value of ultrasound-guided core-needle biopsy (US-CNB)for thyroid imaging reporting and data system (TI-RADS)category 4 thyroid nodules. Methods 189 thyroid nodule of ultrasound features in 177 patients were retrospectively analyzed. The malignant risk of every nodule were evaluated and classified by TI-RADS. A total of 189 thyroid nodules of TI-RADS category 4a 4b and 4c were underwent US-CNB .The histopathology results of US-CNB and pathological results of thyroid surgery of nodules were used to compared.Results There was no signifi-cant differences between results of US-CNB and pathological results of thyroid surgery in thyroid nodules (P >0.05). The sensitivity,specificity,positive predictive value,negative predictive value,and accuracy of thyroid nodules with US-CNB in TI-RADS category 4 were 95.7%,97.8%,97.8%,95.7% and 96.7%respectively. Conclusion There was higher diagnostic value by US-CNB for the TI-RADS category 4 thyroid nodules. US-CNB can effectively improves the accuracy of thyroid nodules.