不同标准TI-RADS分级对甲状腺癌的价值探讨

发布时间：2017-12-31 15:07

  本文关键词：不同标准TI-RADS分级对甲状腺癌的价值探讨　出处：《中国超声医学杂志》2016年11期 　论文类型：期刊论文

  更多相关文章： 甲状腺癌 TI-RADS

【摘要】：目的评估不同TI-RADS分级标准对甲状腺癌的诊断价值。方法对99例甲状腺结节(共111个结节,均经手术病理证实)患者的术前超声检查资料,按目前国际比较认可的三种TIRADS分级方法进行分级,比较三种分级方法对甲状腺癌的鉴别诊断价值。结果经ROC曲线分析:三种分级方法曲线下面积分别为0.469、0.663、0.668,截断值分别为TI-RADS 4、TI-RADS4b、TI-RADS 4b,评估甲状腺癌的灵敏度、特异度分别为5.6%、100%(P0.05),36.7%、90.5%(P0.05),36.7%、90.5%(P0.05)。结论三种分级方法对甲状腺癌评估的灵敏度较低、特异度较高,其中对甲状腺癌的诊断价值Park作者的分级方法相对另两种方法低。
[Abstract]:Objective to evaluate the diagnostic value of different TI-RADS grading standards for thyroid carcinoma. Methods 99 cases of thyroid nodules (a total of 111 nodules were confirmed by surgery and pathology) in patients with preoperative ultrasound examination data were graded by three kinds of TIRADS classification method of current international recognized, more than three kinds of classification methods in differential diagnosis of thyroid carcinoma the value. The results analyzed by ROC curve: area curves of three kinds of classification methods were 0.469,0.663,0.668, cut-off values were TI-RADS 4, TI-RADS4b, TI-RADS 4b, to evaluate the sensitivity of thyroid cancer, the specificity was 5.6%, 100%, 36.7%, 90.5% (P0.05) (P0.05), 36.7%, 90.5% (P0.05) sensitivity. Conclusion three kinds of evaluation methods for thyroid cancer is low, high specificity, the classification and diagnosis value of Park of thyroid cancer relative to the other two methods.

【作者单位】： 兰州大学第二医院超声科;
【分类号】：R445.1;R736.1
【正文快照】： 结果经ROC曲线分析:三种分级方法曲线下面积分别为0.469、0.663、0.668,截断值分别为TI-RADS 4、TI-RADS4b、TI-RADS 4b,评估甲状腺癌的灵敏度、特异度分别为5.6%、100%(P0.05),36.7%、90.5%(P0.05),36.7%、90.5%(P0.05)。结论三种分级方法对甲状腺癌评估的灵敏度较低、特，

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