超声检查多指标积分法在甲状腺良恶性小结节鉴别诊断中的价值

发布时间：2018-09-19 20:37

【摘要】：目的探讨超声检查多指标积分法鉴别诊断甲状腺良恶性小结节的临床价值。方法 73例甲状腺实性小结节患者,术后经病理检查证实良性结节44个、恶性结节52个。分析其术前超声影像学资料,并采用超声多指标积分法对其二维声像图特征及彩色多普勒血流成像特点予以评分。结果 73例患者、96个结节经超声检查诊断为恶性结节40个、良性结节56个,误诊18个,诊断符合率81.25%(78/96)。甲状腺微小乳头状癌超声声像图特征为形态不规则、边界模糊、低回声、纵横比≥1、有微小及簇状钙化、内部血流丰富。44个良性结节多指标积分平均1.86分,52个恶性结节多指标积分平均3.38分,二者比较差异有统计学意义(P0.05)。结论临床可采用超声检查多指标积分对甲状腺良恶性小结节进行鉴别诊断,诊断符合率较高。
[Abstract]:Objective to study the clinical value of multi-index integration in differential diagnosis of benign and malignant thyroid nodules. Methods Seventy-three patients with solid thyroid nodules were confirmed by pathological examination of 44 benign nodules and 52 malignant nodules. The ultrasonic imaging data before operation were analyzed, and the characteristics of two-dimensional sonogram and color Doppler flow imaging were evaluated by multi-index integration method. Results among 73 patients, 96 nodules were diagnosed as malignant nodules (40), benign nodules (56) and misdiagnoses (18 / 96). The diagnostic coincidence rate was 81.25% (78 / 96). The ultrasonographic features of thyroid micropapillary carcinoma were irregular shape, fuzzy boundary, low echo, aspect ratio 鈮，

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