摘要
目的探析甲状腺微小结节诊断应用MSCT与超声价值差异。方法回顾性分析2016年5月至2019年8月到我院接受治疗75例甲状腺结节患者相关资料,患者接受超声与MSCT检查。分析甲状腺良恶性微小结节MSCT与超声影像学表现,比较MSCT与超声诊断甲状腺微小结节不同征象、良恶性甲状腺结节类型、良恶性甲状腺微小结节诊断价值。结果超声与MSCT影像学均可以清楚显示良性恶性甲状腺微小结节具体情况;超声检出甲状腺微小结节界线清楚、囊变、钙化以及淋巴结肿大比例明显高于MSCT检查(P<0.05),而晕环与包膜受侵等检出比例差异没有统计学意义(P>0.05);超声对良恶性甲状腺微小结节检出率均高于MSCT诊断检出率,差异比较有统计学意义(P<0.05);超声诊断良恶性甲状腺微小结节灵敏度、特异度、准确度、阳性预测值以及阴性预测值均高于MSCT。结论超声诊断可以有效鉴别良恶性甲状腺微小结节,其对于良恶性甲状腺微小结节诊断效率较高。
Objective To explore difference in diagnostic value of MSCT and ultrasound in thyroid micro-nodules.Methods A retrospective analysis was performed on related of 75 patients with thyroid micro-nodules who were treated in the hospital from May 2016 to August 2019.Patients underwent ultrasound and MSCT.MSCT and ultrasound imaging findings of benign and malignant thyroid micro-nodules were analyzed.The diagnostic value of MSCT and ultrasound in different signs of thyroid micro-nodules,types of benign and malignant thyroid nodules and benign and malignant thyroid micro-nodules were compared.Results Both ultrasound and MSCT imaging could clearly show specific conditions of benign malignant thyroid micro-nodules.The proportion of thyroid micro-nodules with clear boundary,cystic change,calcification,and lymphadenectasis detect out by ultrasound was significantly higher than that by MSCT (P<0.05).There was no significant difference in detection rate of halo or capsule invasion between the two (P>0.05).The detection rate of ultrasound for benign and malignant thyroid micro-nodules was higher than that of MSCT (P<0.05).The sensitivity,specificity,accuracy,positive predictive value,and negative predictive value of ultrasound for diagnosis of benign and malignant thyroid micro-nodules were higher than those of MSCT.Conclusion Ultrasound diagnosis can effectively identify benign and malignant thyroid micro-nodules,which is more effective in diagnosis of benign and malignant thyroid micro-nodules.
作者
金巧芳
刘文武
吴倩玲
杨向丽
李怀国
金其才
方泉
JIN Qiao-fang;LIU Wen-wu;WU Qian-ling;YANG Xiang-li;LI Huai-guo;JIN Qi-cai;FANG Quan(Department of Ultrasound,Baoshan Branch,Renji Hospital Affiliated to Medical College ofShanghai Jiaotong University,Shanghai 200444,China;Department of Radiology,Yiwu Central Hospital,Zhejiang Province,Yiwu 322000,ZhejiangProvince,China)
出处
《中国CT和MRI杂志》
2021年第8期51-53,71,共4页
Chinese Journal of CT and MRI
