摘要
目的 探讨超声技术在鉴别诊断局灶性甲状腺炎与甲状腺微小癌中的临床应用效果。方法 选择2011年1月～2015年6月在我院治疗的甲状腺内单发低回声病灶患者162例的临床资料进行回顾性分析。所有患者均行超声检查、超声弹性成像技术分析,超声引导下细针穿刺细胞学检查,经病理检查明确诊断。结果 超声常规检查与病理结果诊断一致性Kappa=0.531,说明两者结果有中等一致性。弹性成像与病理结果诊断一致性Kappa=0.771,说明两者结果有高度一致性。超声引导下细针穿刺细胞学检查与病理结果诊断一致性Kappa=0.939,说明两者结果几乎一致。结论 超声在鉴别诊断局灶性甲状腺炎与甲状腺微小癌中具有较好的临床应用效果,尤其是超声引导下细针穿刺细胞学检查。
Objective To discuss clinical efficacy of clinical application of ultrasound technology in the differential diagnosis of focal thyroiditis with thyroid microcarcinoma. Methods Clinical data of 162 cases with solitary low echo lesions in the thyroid gland from Jan 2011 to Jun 2015 were respectively analyzed. All patients underwent ultrasound examination, ultrasound elasticity imaging analysis, ultrasound guided fine needle aspiration cytology, and diagnosis by pathological examination. Results Consistency of diagnostic ultrasound and pathologic findings showed： Kappa=0.531, which showed the results of the two methods were of medium consistency. Consistency of elastic imaging results and pathologic findings showed： Kappa=0.771, which showed the results of the two methods were of high consistency; Con- sistency of Ultrasound guided fine needle aspiration cytology and pathologic findings showed： Kappa =0.939, which showed the results of the two methods were of practical unanimity. Conclusion Ultrasound in differential diagnosis of focal thyroiditis and thyroid micro carcinoma has a good clinical effect, especially in the ultrasound guided fine needle aspiration cytology.
出处
《中国现代医生》
2016年第28期112-116,F0003,共6页
China Modern Doctor
基金
浙江省医药卫生科技计划项目(2015KYB293)
