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超声检查在甲状腺微小病变诊断中的应用研究

Study on the Application of Ultrasonography in the Diagnosis of Thyroid Minimal Lesions
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摘要 目的研究超声检查用于甲状腺微小病变患者诊断的临床价值。方法选取广东医科大学附属东莞第一医院超声医学中心2020年10月—2022年10月收治的疑似甲状腺微小病变患者15例作为研究对象,所有患者在术前均接受超声检查,将超声检查结果进行汇总,并将15例患者的超声检查结果与手术病理诊断结果进行比较。结果(1)诊断结果:经手术病理诊断,15例患者中13例为恶性,2例为良性;经超声检查,12例确诊为恶性,2例诊断为良性,误诊1例。超声与手术病理的诊断符合率为93.33%,误诊率为6.67%。(2)显像分级:良性病变的Ⅰ级显像占比高于恶性病变,但差异无统计学意义(P>0.05);Ⅱ级显像的良性和恶性病变占比差异无统计学意义(P>0.05),良性病变的Ⅲ级显像显著低于恶性病变,差异有统计学意义(P<0.05)。结论超声检查用于甲状腺微小病变的临床诊断上优势显著,可对病变的性质进行明确诊断,为疾病的临床诊断提供科学参考依据,故有借鉴意义和临床推广价值。 Objective To study the clinical value of ultrasound in the diagnosis of thyroid microlesions.Methods A total of 15 patients with suspected thyroid microlesions admitted to department of ultrasonic medical center of the First Dongguan Affiliated Hospital of Guangdong Medical University from October 2020 to October 2022 were selected as the research objects.All patients received preoperative ultrasound examination,and the ultrasonic examination results were summarized,and the ultrasonic examination results of the 15 patients were compared with the surgical pathological diagnosis results.Results(1)Diagnosis:by surgery and pathology 13 of 15 patients were malignant and 2 were benign.By ultrasound examination,12 cases were diagnosed as malignant,2 cases were diagnosed as benign,and 1 case was misdiagnosed.The coincidence rate of ultrasound and surgical pathology was 93.33%,and the misdiagnosis rate was 6.67%.(2)Imaging grading:the proportion of gradeⅠimaging in benign lesions was higher than that in malignant lesions,but the difference was not statistically significant(P>0.05).and the proportion of benign and malignant lesions in gradeⅡimaging was not statistically significant(P>0.05).The proportion of gradeⅢimaging in benign lesions was significantly lower than that in malignant lesions(P<0.05).Conclusion Ultrasound examination has significant advantages in the clinical diagnosis of thyroid microlesions,which can clearly diagnose the nature of the lesions and provide scientific reference for the clinical diagnosis of the disease,so it has reference significance and clinical promotion value.
作者 代莹 董宏民 许锦富 DAI Ying;DONG Hongmin;XU Jinfu(Department of Ultrasound Medical Center,the First Dongguan Affiliated Hospital of Guangdong Medical University,Dongguan Guangdong 523728,China)
出处 《中国卫生标准管理》 2023年第8期81-84,共4页 China Health Standard Management
关键词 超声检查 甲状腺微小病变 病变性质 显像分级 影像学表现 诊断价值 ultrasound examination thyroid microlesion the nature of the lesion grading of imaging imaging findings diagnostic value
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