摘要
目的旨在分析超声联合MSCT对良、恶性甲状腺结节诊断价值。方法选取我院2016年11月至2018年10月收治的62例甲状腺结节患者作为研究对象,患者均行超声及MSCT检查,以手术或病理穿刺结果为金标准,对比不同检查诊断良、恶性甲状腺结节特异度、灵敏度及准确率。结果超声诊断良、恶性甲状腺结节特异度、灵敏度及准确率分别为66.12%、72.85%、74.19%,MSCT诊断良、恶性甲状腺结节特异度、灵敏度及准确率分别为72.58%、75.80%、87.09%,单一超声、MSCT检查对甲状腺结节特异度、准确率明显低于超声联合MSCT85.48%、98.38%(P<0.05);不同性质甲状腺结节MSCT数目、钙化影像特点比较存在明显差异(P<0.05),结节性甲状腺肿多为多发性低密度结节,外观形态较为规则,在增强扫描中,结节性甲状腺肿48个病灶强化均匀;甲状腺癌多为单发病灶,23个病灶存在钙化;7个病灶突破甲状腺包膜,侵犯周围组织,7例出现淋巴结转移。超声检查中甲状腺癌表现为不规形态,包膜不完整或无包膜,边界模糊。结论超声联合MSCT可提高对成人良、恶性甲状腺结节鉴别诊断特异度准确率。
Objective The purpose of this study is to analyze the value of ultrasonography combined with MSCT in the diagnosis of benign and malignant thyroid nodules.Methods 62 patients with thyroid nodules admitted to our hospital from November 2016 to October 2018 were enrolled in the study.All patients underwent ultrasound and MSCT examination.The results of surgery or pathological puncture were used as the gold standard.The specificity,sensitivity and accuracy of the diagnosis of different examinations for benign and malignant thyroid nodules were compared.Results The specificity,sensitivity and accuracy of ultrasound diagnosis for benign and malignant thyroid nodules were 66.12%,72.85% and 74.19%,respectively.The specificity,sensitivity and accuracy of MSCT diagnosis for benign and malignant thyroid nodules were 72.58%,75.80% and 87.09%,respectively.The specificity and accuracy of single ultrasound and MSCT examination for thyroid nodules were significantly lower than those of ultrasound combined with MSCT (85.48%,98.38% (P<0.05).There were significant differences in the number and calcification features of different thyroid nodules in MSCT (P<0.05).Nodular goiter is mostly multiple low-density nodules,and its appearance is relatively regular.In the enhanced scan,48 lesions of nodular goiter were evenly enhanced;thyroid cancer was mostly single lesions,23 lesions were calcified;7 lesions broke through the thyroid capsule,invading surrounding tissues,and 7 patients showed lymph node metastasis.In the ultrasonography,thyroid cancer showed irregular morphology,the capsule was incomplete or no capsule,and the boundary was blurred.Conclusion Ultrasound combined with MSCT can improve the accuracy of the specificity of differential diagnosis of benign and malignant thyroid nodules in adults.
作者
谢凌
郭道宁
程瑞红
李成东
XIE Ling;GUO Dao-ning;CHENG Rui-hong(Department of Functional,Anzhou District People's Hospital,Mianyang 622651,Sichuan Province,China)
出处
《中国CT和MRI杂志》
2020年第9期50-52,共3页
Chinese Journal of CT and MRI
基金
四川省科技厅自然科学基金(14JC0119)。
关键词
超声
MSCT
良、恶性甲状腺结节
对比
Ultrasound
MSCT
Benign and Malignant Thyroid Nodules
Comparison
