摘要
目的在甲状腺良恶性结节患者中应用二维超声与彩色多普勒超声进行联合检测,并分析该方式的检查效果以及准确率。方法选取2021年2月—2023年4月于福州市第一医院就诊的100例甲状腺结节患者,在诊断中给予二维超声、彩色多普勒超声进行联合检查,依据临床最终检查结果,判断联合检查和单一检查的检出情况,分析不同方式的诊断效能。结果在疑似甲状腺结节患者中,应用二维以及彩色多普勒超声进行联合检查整体效能高于单一检查方式(P<0.05)。从不同性质结节的二维超声征象情况来看,良性结节的清晰边界、结节囊实质、形态规则情况均高于恶性结节;恶性结节低回声与微钙化情况则高于良性结节(P<0.05)。分析不同形式结节血流分型情况可见,恶性结节中Ⅱ级、Ⅲ级占比高于良性结节,Ⅰ级则低于良性结节(P<0.05)。结论对于甲状腺结节患者而言,临床对疾病进行诊断时,在使用二维超声的基础上,给予彩色多普勒超声开展综合诊断,有助于提升疾病诊断准确率,为临床治疗方案提供科学依据,所具临床价值较为显著。
Objective To apply two-dimensional ultrasound and color Doppler ultrasound for the combined detection of benign and malignant thyroid nodules,and to analyze the examination effect and accuracy of this method.Methods A total of 100 personnel with thyroid nodules in the First Hospital of Fuzhou from February 2021 to April 2023 were collected as the analysis object.Two-dimensional ultrasound and color Doppler ultrasound were given in the diagnosis.According to the final clinical examination results,the detection of combined examination and single examination was judged,and the diagnostic efficacy of different methods was analyzed.Results In patients with suspected thyroid nodules,the overall performance of two-dimensional and color Doppler ultrasound was higher than that of single examination(P<0.05).According to the two-dimensional ultrasound signs of nodules of different natures,the clear borders,parenchyma of the nodule sac and the morphological regularity of benign nodules were higher than those of malignant nodules.The cases of hypoechoic and microcalcification of malignant nodules were higher than those of benign nodules(P<0.05).The analysis of blood flow classification of different forms of nodules showed that the proportion of gradeⅡandⅢin malignant nodules were higher than that of benign nodules,and the proportion of gradeⅠnodules was lower than that of benign nodules(P<0.05).Conclusion For the personnel with thyroid nodules,the use of color Doppler ultrasound on the basis of two-dimensional ultrasound in the clinical diagnosis of the disease is helpful to improve the accuracy of disease diagnosis and provide scientific basis for clinical treatment,which has significant clinical value.
作者
卢良青
胡建苏
饶丽平
严凯荣
林文通
LU Liangqing;HU Jiansu;RAO Liping;YAN Kairong;LIN Wentong(Department of Ultrasound,the First Hospital of Fuzhou,Fuzhou Fujian 350009,China)
出处
《中国卫生标准管理》
2023年第23期102-105,共4页
China Health Standard Management
关键词
甲状腺
良性结节
恶性结节
二维超声
彩色多普勒超声
诊断价值
thyroid
benign nodules
malignant nodules
two-dimensional ultrasound
color Doppler ultrasound
diagnostic value
