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甲状腺微小乳头状癌彩超征象危险因素的Logistic回归分析 被引量:7

Logistic regression analysis of risk factors related to ultrasound diagnosis of papillary thyroid microcarcinoma
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摘要 目的:探讨甲状腺微小癌的超声诊断危险因素与临床价值。方法:以手术病理结果为金标准,对术前行超声检查的123个甲状腺微小结节患者进行Logistic回归分析,筛选出与甲状腺微小癌相关度较高的超声特征参数,并建立Logistic回归方程。结果:Logistic回归分析显示最后进入方程模型的4个参数分别为形态不规则、边界模糊、内部低回声、内部微小钙化,它们与甲状腺微小癌有较高相关性(P<0.05)。结论:以形态、边界、内部钙化与结节内部回声4个诊断参数变量建立的Logistic回归模型有助于甲状腺微小癌的早期诊断。 Objective: To evaluate the risk factors and the clinical value related to ultrasound diagnosis of papillary thyroid microcarcinoma(PTMC).Methods: Taking pathological results as the gold standard,123 cases of small thyroid nodules diagnosed by ultrasound before surgery were analyzed by Logistic regression;a Logistic model would be obtained through making a screening test to find which ultrasound diagnosis parameters have a high relativity with PTMC.Results: The Logistic regression analysis demonstrated that 4 parameters were enrolled in the Logistic equation: irregular shape,unclear edge,microcalcifications,hypoechoic nodules;those four had a higher relativity with PTMC than the rest(P0.05).Conclusion The Logistic regression model with shape,edge,microcalcifications,internal echoes can be helpful for early accurate diagnosis of PTMC.
出处 《江苏大学学报(医学版)》 CAS 2013年第1期75-77,共3页 Journal of Jiangsu University:Medicine Edition
关键词 甲状腺微小乳头状癌 超声 LOGISTIC回归分析 papillary thyroid microcarcinoma ultrasound Logistic regression analysis
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参考文献7

  • 1Roti E, Uberti EC, Bondanelli M, et al. Thyroid papillary microcarcinoma: a descriptive and meta-analysis study [J]. Eur J Endocrinol,2008,159(6) :659 -673.
  • 2王骏,马林茂.Logistic回归诊断及SAS实现[J].数理医药学杂志,2005,18(1):35-37. 被引量:12
  • 3詹维伟.甲状腺微小癌的超声诊断[J].中国实用外科杂志,2011,31(5):383-385. 被引量:30
  • 4Cappelli C, Castellano M, Pirola I, et al. Thyroid nodule shape suggests malignancy [ J ]. Eur J Endocrinol,2006, 155(1) :27 -31.
  • 5Jeh SK, Jung SL, Kim BS, et al. Evaluating the degree of conformity of papillary carcinoma and follicular carcino- ma to the reported ultrasonographic findings of malignant thyroid tumor[ J]. Korean J Radiol, 2007,8 (3) : 192 - 197.
  • 6Moon WJ, Jung SL, Lee JH, et al. Benign and malignant thyroid nodules: US differentiation-multicenter retrospec- tive study [ J ].Radiology, 2008, 247 (3) : 762 - 770.
  • 7Iannuccilli JD, Cronan J J, Monchik JM. Risk for malig- nancy of thyroid nodules as assessed by sonographic crite- ria:the need for biopsy [ J ]. J Ultrasound Med, 2004,23 ( 1 ) : 1455 - 1464.

二级参考文献16

  • 1李霄阳,罗定存,陈利民,贺军,方阳.超声造影对甲状腺乳头状癌诊断价值的探讨[J].现代实用医学,2009,21(4):308-309. 被引量:11
  • 2赵清波,徐勇勇,夏结来.用于Logistic回归诊断的经验Pearson残差图[J].第四军医大学学报,1994,15(4):284-286. 被引量:3
  • 3赖远辉,李晓曦,王深明,李松奇.甲状腺结节钙化的临床价值[J].中国实用外科杂志,2005,25(12):732-733. 被引量:16
  • 4赵清波,徐勇勇,夏结来.logistic回归诊断的图示方法[J].中国卫生统计,1996,13(1):33-35. 被引量:1
  • 5Abrosimov A, Bogdanova T, Ito,et al. Guest editorial: two proposals regarding the terminology of thyroid tumors[J]. Int J Surg Pathology, 2000,8(3): 181-183.
  • 6Kim EK, Park CS, Chung WY, et al. New sonographic criteria for recommending fine-needle aspiration biopsy of nonpalpable solid nodules of the thyroid [J]. Am J Roentgenol, 2002,178 (3): 687-691.
  • 7Cappelli C, Pirola I, Cumetti D, et al. Is the anteroposterior and transverse diameter ratio of nonpalpable thyroid nodules a sonographic criteria for recommending fine-needle aspiration cytology? [ J ]. Clin Endocrinol (Oxf), 2005,63 (6):689-693.
  • 8Jeh SK, Jung SL, Kim BS, et al. Evaluating the degree of conformity of papillary carcinoma and follicular carcinoma to the reported uhrasonographic findings of malignant thyroid tumor [J]. Korean J Radiol, 2007,8 (3): 192-197.
  • 9Weber F, Shen L, Aldred MA, et al. Genetic classification of benign and malignant thyroid follicular neoplasia based on a three-gene combination [J]. J Clin Endocrinol Metab, 2005,90 (5):2512-2521.
  • 10RumackCM.超声诊断学(英)[M].3版.北京:人民军医出版社,2007:746.

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