超声与MSCT在诊断甲状腺结节钙化中的一致性比较
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摘要
目的探讨超声与多层螺旋CT(MSCT)在诊断甲状腺结节钙化中的一致性与差异性。方法回顾性分析2014年10月-2017年10月于我院接受手术治疗的364例甲状腺结节患者的临床资料。所有患者于术前行超声、MSCT检查,并于术后接受病理检查,至少有1项检查结果提示有钙化存在。比较超声和MSCT对甲状腺结节钙化的检出率,以及两种检查结果与术后病理检查结果的一致性,分析超声和MSCT检测甲状腺结节的图像特点。结果超声对乳头状癌、乳头状微癌等恶性甲状腺结节及良性结节的钙化检出率均高于MSCT(P﹤0.05),超声与病理检查一致性为88.68%(47/53),高于MSCT与病理检查的一致性73.58%(39/53)(P﹤0.05)。结论超声诊断甲状腺结节钙化的准确性高于MSCT,且与病理检查的一致性更高。
Objective To explore the consistency and difference of ultrasound and multislice spiral CT(MSCT) in the diagnosis of thyroid nodule calcification. Methods The clinical data of 364 cases of patients with thyroid nodules treated with surgery in our hospital from October 2014 to October 2017 were analyzed retrospectively. All patients were given preoperative ultrasound and MSCT examinations, and given postoperative pathological examination, and there was at least 1 test results suggesting the presence of calcification. The detection rates of thyroid nodule calcification by ultrasound and MSCT were compared, and the consistency between the results of the two examinations and the postoperative pathological findings was analyzed, and the imaging features of thyroid nodule by ultrasound and MSCT were analyzed. Results The calcification detection rates of malignant thyroid nodules and benign nodules such as papillary carcinoma and papillary micro-carcinoma by ultrasound were higher than those by MSCT(P<0.05). And the consistency of ultrasound and pathology was 88.68%(47/53), which was higher than that of MSCT and pathology with 73.58%(39/53)(P<0.05). Conclusion The accuracy of ultrasound in the diagnosis of thyroid nodule calcification is higher than that of MSCT, and the consistency is higher in ultrasound and pathology.
Objective To explore the consistency and difference of ultrasound and multislice spiral CT(MSCT) in the diagnosis of thyroid nodule calcification. Methods The clinical data of 364 cases of patients with thyroid nodules treated with surgery in our hospital from October 2014 to October 2017 were analyzed retrospectively. All patients were given preoperative ultrasound and MSCT examinations, and given postoperative pathological examination, and there was at least 1 test results suggesting the presence of calcification. The detection rates of thyroid nodule calcification by ultrasound and MSCT were compared, and the consistency between the results of the two examinations and the postoperative pathological findings was analyzed, and the imaging features of thyroid nodule by ultrasound and MSCT were analyzed. Results The calcification detection rates of malignant thyroid nodules and benign nodules such as papillary carcinoma and papillary micro-carcinoma by ultrasound were higher than those by MSCT(P<0.05). And the consistency of ultrasound and pathology was 88.68%(47/53), which was higher than that of MSCT and pathology with 73.58%(39/53)(P<0.05). Conclusion The accuracy of ultrasound in the diagnosis of thyroid nodule calcification is higher than that of MSCT, and the consistency is higher in ultrasound and pathology.
引文
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[2]刘烺飚,韩承新,舒清明,等.甲状腺结节钙化与甲状腺癌的关系[J].武警医学,2017,28(2):150-151,156.
[3]田虹,肖蓉,胡晓丹,等.超声征象Logistic回归分析诊断甲状腺恶性结节[J].中国介入影像与治疗学,2017,14(12):742-746.
[4]何小华.超声探测甲状腺钙化在甲状腺结节诊断中的进展[J].浙江医学,2017,39(7):589-591.
[5]王焱辉,贺毅,刘国亮,等.64层螺旋CT在甲状腺结节良恶性中的诊断价值[J].海南医学,2017,28(21):3513-3516.
[6]李佳伟,常才,陈敏,等.超声与CT在检测甲状腺结节钙化中的比较[J].中华超声影像学杂志,2016,25(5):384-387.
[7]侯浩宇,杨金君,贾崴,等.50例甲状腺结节良恶性患者行64层螺旋CT扫描影像特点的回顾性分析[J].中国CT和MRI杂志,2016,14(11):13-15.
[8]韩志江,项晶晶,包凌云,等.甲状腺钙化性病变的超声和CT联合诊断[J].国际医学放射学杂志,2016,39(4):416-421.
[9]周金柱,雷志锴,韩志江,等.超声与CT联合在声衰显著甲状腺孤立性钙化结节诊断中的价值[J].中华内分泌外科杂志,2016,10(2):184-186.
[10]万俊清.甲状腺腺瘤的超声造影与多层螺旋CT特点分析[J].中国CT和MRI杂志,2016,14(8):75-77.