摘要
目的探讨高分辨率超声对甲状腺乳头状癌的诊断价值。方法选取2018年3月至2021年3月夏邑县第二人民医院收治的80例疑似甲状腺乳头状癌的患者,以手术病理为"金标准",患者入院当天均行常规超声、高分辨率超声检查,分析两种检查方式的灵敏度、特异度、准确度、阳性预测值、阴性预测值。结果 80例疑似甲状腺乳头状癌患者中,经手术病理检查显示甲状腺乳头状癌有73例(91.25%);高分辨率超声诊断灵敏度(94.52%)、准确度(91.25%)较常规超声检查[(75.34%)、(73.75%)]高,差异有统计学意义(P<0.05)。结论高分辨率超声诊断甲状腺乳头状癌的灵敏度、准确度较高,可评估结节内部回声、结节形态、微钙化情况,对甲状腺乳头状癌的诊断价值较高。
Objective To evaluate the value of high resolution ultrasound in the diagnosis of thyroid papillary carcinoma.Methods Eighty patients with highly suspected papillary thyroid cancer treated in Xiayi Second People’s Hospital from March 2018 to March 2021 were selected,surgical pathology was taken as the "gold standard",all patients underwent routine ultrasound and high-resolution ultrasound on the day of admission,the sensitivity,specificity,accuracy,positive predictive value and negative predictive value of the two methods were analyzed.Results Among 80 patients with highly suspected thyroid papillary carcinoma,73 cases(91.25%) showed thyroid papillary carcinoma by surgical pathology;the sensitivity(94.52%) and accuracy(91.25%) diagnosed by high-resolution ultrasound were higher than those by conventional ultrasound [(75.34%) and(73.75%)](P<0.05).Conclusion High resolution ultrasound has high sensitivity and accuracy in the diagnosis of thyroid papillary carcinoma,which can evaluate the internal echo,nodule morphology and calcium micromation of the nodule,and has high diagnostic value for thyroid papillary carcinoma.
作者
刘晓波
LIU Xiaobo(Department of Ultrasound,Xiayi Second People’s Hospital,Shangqiu 476400,China)
出处
《河南医学研究》
CAS
2021年第32期6091-6093,共3页
Henan Medical Research
关键词
甲状腺乳头状癌
高分辨率超声
诊断价值
thyroid papillary carcinoma
high resolution ultrasound
diagnostic value
