二维超声评分法联合超声造影在甲状腺结节良恶性鉴别诊断中的效果
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摘要
目的探讨二维超声评分法联合超声造影在甲状腺结节良恶性鉴别诊断中的效果。方法选取2016年9月～2018年12月我院收治的390例疑似甲状腺结节患者,均采用二维超声评分法、超声造影进行诊断,将术后病理结果作为金标准,分析两种检查方法的临床价值。结果 390例患者中存在甲状腺结节数446个,其中148个恶性结节,298个良性结节。二维超声评分法的特异性为76.5%(228/298),灵敏度为90.5%(134/148),准确率为81.2%(362/446)。超声造影诊断的特异性为80.5%(240/298)、灵敏度为91.9%(136/148)、准确率为84.3%(376/446)。两种方法联合诊断的特异性为93.3%(278/298),灵敏度为91.9%(136/148),准确率为92.8%(414/446)。结论二维超声评分法联合超声造影可有效提升甲状腺结节患者的检出率,值得推广使用。
Objective To investigate the effect of two-dimensional ultrasound scoring combined with contrast-enhanced ultrasonography in the differential diagnosis of benign and malignant thyroid nodules. Methods A total of 390 patients with suspected thyroid nodules treated in our hospital from September 2016 to December 2018 were selected, and diagnosed by two-dimensional ultrasound and contrast-enhanced ultrasound. The gold standard was postoperative pathology. The clinical value of the two examination methods was analyzed. Results There were 446 thyroid nodules in 390 patients, including 148 malignant nodules and 298 benign nodules. The two-dimensional ultrasound scoring method had a specificity of 76.5%(228/298), a sensitivity of 90.5%(134/148), and an accuracy of 81.2%(362/446). The contrast-enhanced ultrasound was 80.5%(240/298), the sensitivity was 91.9%(136/148), and the accuracy was 84.3%(376/446). The combined specificity of the two diagnostic methods was 93.3%(278/298), the sensitivity was 91.9%(136/148), and the accuracy was 92.8%(414/446). Conclusion Two-dimensional ultrasound scoring combined with contrastenhanced ultrasound can effectively improve the detection rate of patients with thyroid nodules, which is worthy of popularization.
Objective To investigate the effect of two-dimensional ultrasound scoring combined with contrast-enhanced ultrasonography in the differential diagnosis of benign and malignant thyroid nodules. Methods A total of 390 patients with suspected thyroid nodules treated in our hospital from September 2016 to December 2018 were selected, and diagnosed by two-dimensional ultrasound and contrast-enhanced ultrasound. The gold standard was postoperative pathology. The clinical value of the two examination methods was analyzed. Results There were 446 thyroid nodules in 390 patients, including 148 malignant nodules and 298 benign nodules. The two-dimensional ultrasound scoring method had a specificity of 76.5%(228/298), a sensitivity of 90.5%(134/148), and an accuracy of 81.2%(362/446). The contrast-enhanced ultrasound was 80.5%(240/298), the sensitivity was 91.9%(136/148), and the accuracy was 84.3%(376/446). The combined specificity of the two diagnostic methods was 93.3%(278/298), the sensitivity was 91.9%(136/148), and the accuracy was 92.8%(414/446). Conclusion Two-dimensional ultrasound scoring combined with contrastenhanced ultrasound can effectively improve the detection rate of patients with thyroid nodules, which is worthy of popularization.
引文
[1]赵蓉,印淑均,王敏.TI-RADS联合超声造影在甲状腺良恶性结节鉴别诊断中的应用价值[J].中国医学物理学杂志,2018,35(3):307-312.
[2]李念芬,戚庭月,孙红光,等.定量分析在不同超声造影特征甲状腺结节良恶性鉴别诊断中的价值[J].中国医疗设备,2017,32(12):87-90.
[3]徐世亮,陈列,宝波,等.常规超声联合超声造影鉴别甲状腺结节良恶性的价值[J].癌症进展,2017,15(9):1073-1075.
[4]李晶,杨敏芳,张羽,等.弹性成像联合超声造影技术对甲状腺结节的诊断价值[J].哈尔滨医科大学学报,2017,51(4):351-355.
[5]王鑫,李玲.B-flow超声显像、弹性成像及超声造影技术在甲状腺结节诊断中的应用[J].陕西医学杂志,2017,46(8):1068-1069.
[6]刘景萍,张秀芳,胡健,等.高频超声、弹性成像联合超声造影在甲状腺结节诊断中应用价值[J].海南医学,2017,28(13):2143-2146.
[7]张桦.超声弹性成像与造影联合应用诊断甲状腺结节的临床价值[J].医学影像学杂志,2017,27(6):1060-1062,1078.
[8]柯珂,张群霞,王志刚.甲状腺影像报告与数据系统、声触诊组织量化技术及超声造影鉴别诊断甲状腺结节良恶性[J].中国介入影像与治疗学,2017,14(5):287-291.
[9]周琦,陆鑫,尚旭,等.多模式超声成像评分在甲状腺结节良恶性鉴别诊断中的应用[J].临床超声医学杂志,2017,19(3):155-158.
[10]商宁,杜辉,李军,等.超声造影联合弹性成像在TIRADS 4类甲状腺结节良恶性鉴别诊断中的应用价值研究[J].中国医学装备,2017,14(1):74-78.
[11]刘彩梅,范兵兵,王雨,等.超声造影在甲状腺良恶性结节鉴别诊断中的价值[J].临床超声医学杂志,2016,18(10):698-699.
[12]何辉,陈丹丹,郗增慧,等.超声造影联合弹性成像诊断甲状腺良恶性结节的价值[J].医疗卫生装备,2016,37(9):82-84,102.
[13]王琰,崔可飞,付超,等.超声造影评分法联合TI-RADS分类标准对甲状腺良恶性结节的诊断价值[J].中国临床医学影像杂志,2016,27(6):439-441.
[14]刘馨,吴艺捷.超声造影在良恶性甲状腺结节鉴别诊断中的应用[J].世界临床药物,2016,37(6):366-370.
[15]凌冰,王小燕,蓝春勇,等.二维超声联合CEUS鉴别诊断良恶性甲状腺结节[J].中国医学影像技术,2015,31(7):1007-1010.
[2]李念芬,戚庭月,孙红光,等.定量分析在不同超声造影特征甲状腺结节良恶性鉴别诊断中的价值[J].中国医疗设备,2017,32(12):87-90.
[3]徐世亮,陈列,宝波,等.常规超声联合超声造影鉴别甲状腺结节良恶性的价值[J].癌症进展,2017,15(9):1073-1075.
[4]李晶,杨敏芳,张羽,等.弹性成像联合超声造影技术对甲状腺结节的诊断价值[J].哈尔滨医科大学学报,2017,51(4):351-355.
[5]王鑫,李玲.B-flow超声显像、弹性成像及超声造影技术在甲状腺结节诊断中的应用[J].陕西医学杂志,2017,46(8):1068-1069.
[6]刘景萍,张秀芳,胡健,等.高频超声、弹性成像联合超声造影在甲状腺结节诊断中应用价值[J].海南医学,2017,28(13):2143-2146.
[7]张桦.超声弹性成像与造影联合应用诊断甲状腺结节的临床价值[J].医学影像学杂志,2017,27(6):1060-1062,1078.
[8]柯珂,张群霞,王志刚.甲状腺影像报告与数据系统、声触诊组织量化技术及超声造影鉴别诊断甲状腺结节良恶性[J].中国介入影像与治疗学,2017,14(5):287-291.
[9]周琦,陆鑫,尚旭,等.多模式超声成像评分在甲状腺结节良恶性鉴别诊断中的应用[J].临床超声医学杂志,2017,19(3):155-158.
[10]商宁,杜辉,李军,等.超声造影联合弹性成像在TIRADS 4类甲状腺结节良恶性鉴别诊断中的应用价值研究[J].中国医学装备,2017,14(1):74-78.
[11]刘彩梅,范兵兵,王雨,等.超声造影在甲状腺良恶性结节鉴别诊断中的价值[J].临床超声医学杂志,2016,18(10):698-699.
[12]何辉,陈丹丹,郗增慧,等.超声造影联合弹性成像诊断甲状腺良恶性结节的价值[J].医疗卫生装备,2016,37(9):82-84,102.
[13]王琰,崔可飞,付超,等.超声造影评分法联合TI-RADS分类标准对甲状腺良恶性结节的诊断价值[J].中国临床医学影像杂志,2016,27(6):439-441.
[14]刘馨,吴艺捷.超声造影在良恶性甲状腺结节鉴别诊断中的应用[J].世界临床药物,2016,37(6):366-370.
[15]凌冰,王小燕,蓝春勇,等.二维超声联合CEUS鉴别诊断良恶性甲状腺结节[J].中国医学影像技术,2015,31(7):1007-1010.