超声成像联合McGill甲状腺结节评分对甲状腺良恶性结节鉴别诊断价值研究

发布时间：2018-06-15 19:20

本文选题：McGill甲状腺结节评分 + 甲状腺癌　；参考：《中国医学装备》2017年03期

【摘要】：目的:评估超声成像联合McGill甲状腺结节评分(MTNS)系统鉴别结节大小和良恶性肿瘤的临床价值。方法:回顾性分析112例甲状腺结节患者的临床资料,患者病灶经超声引导细针穿刺鉴定,再计算患者的MTNS分数、结节大小及假阴性率。结果:在112例甲状腺结节患者中,MTNS为1~18分,平均得分(6.83±2.31)分,最终病理确诊16例(占14.29%)为恶性结节,96例为良性结节(85.71%)。恶性结节MTNS的分值明显大于良性。超声成像显示,结节直径1~8.9cm,平均(4.13±4.13)cm。MTNS与结节直径之间呈正相关(r=0.146,P0.05)。超声成像显示,恶性结节平均直径为(3.67±1.60)cm,恶性为(4.23±1.51)cm。漏诊的恶性结节主要分布于大直径结节中。结论:超声成像联合MTNS,可以更好地预测甲状腺结节的良恶性风险。
[Abstract]:Objective: to evaluate the clinical value of ultrasonic imaging combined with McGill's thyroid nodule score (MTNSs) system in differentiating nodule size from benign and malignant tumors. Methods: the clinical data of 112 patients with thyroid nodule were analyzed retrospectively. The MTNS score, nodule size and false negative rate were calculated by ultrasound guided fine needle puncture. Results: in 112 patients with thyroid nodule, the MTNS score was 1 ~ 18, the average score was 6.83 卤2.31, and the final pathological diagnosis was 16 cases (14.29%) as malignant nodule and 96 cases as benign nodule. The score of MTNS in malignant nodules was significantly higher than that in benign nodules. Ultrasonic imaging showed that the diameter of the nodules was 1 ~ 8.9 cm, with an average of 4.13 卤4.13 cm. There was a positive correlation between MTNS and the diameter of the nodules. The mean diameter of malignant nodules was 3.67 卤1.60 cm, and that of malignant nodules was 4.23 卤1.51 cm. The missed malignant nodules were mainly distributed in large diameter nodules. Conclusion: ultrasonography combined with MTNScan better predict the benign and malignant risk of thyroid nodules.
【作者单位】：东营市东营区人民医院超声科;
【分类号】：R445.1;R581;R736.1

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