甲状腺疾病B超诊断的可行性分析
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摘要
目的探讨分析甲状腺疾病实施B超诊断的可行性。方法对影像科80例甲状腺疾病患者(2017年1月—2018年6月收治)实施研究,对患者均进行B超诊断,分析总结B超的诊断效果。结果实施病理检查确诊甲状腺恶性病变8例,甲状腺良性病变72例。实施B超检查检出恶性病变13例,良性病变67例,漏诊1例,误诊6例。B超检查对甲状腺疾病的诊断敏感度为87.5%(7/8),特异度为91.7%(66/72),阳性预测值为53.8%(7/13),阴性预测值为98.5%(66/67),准确度为91.3%(73/80)。结论甲状腺疾病实施B超诊断效果良好,可行性高。
Objective To investigate the feasibility of B ultrasound in diagnosis of thyroid disease. Methods 80 patients with thyroid disease in the department of imaging(from January 2017 to June 2018) were enrolled in the study. All patients underwent B ultrasound diagnosis and the diagnosis results of B-ultrasound were analyzed. Results 80 patients with thyroid malignant lesions and 72 patients with benign thyroid lesions were diagnosed by pathological examination. B-ultrasound was performed to detect 13 cases of malignant lesions, 67 cases of benign lesions, 1 case of missed diagnosis, and 6 cases of misdiagnosis. The sensitivity of B-ultrasound diagnosis for thyroid disease was 87.5%(7/8), the specificity was 91.7%(66/72), the positive predictive value was 53.8%(7/13), and the negative predictive value was 98.5%(66)./67), the accuracy was 91.3%(73/80). Conclusion The diagnosis of thyroid disease with B-ultrasound is effective and feasible.
Objective To investigate the feasibility of B ultrasound in diagnosis of thyroid disease. Methods 80 patients with thyroid disease in the department of imaging(from January 2017 to June 2018) were enrolled in the study. All patients underwent B ultrasound diagnosis and the diagnosis results of B-ultrasound were analyzed. Results 80 patients with thyroid malignant lesions and 72 patients with benign thyroid lesions were diagnosed by pathological examination. B-ultrasound was performed to detect 13 cases of malignant lesions, 67 cases of benign lesions, 1 case of missed diagnosis, and 6 cases of misdiagnosis. The sensitivity of B-ultrasound diagnosis for thyroid disease was 87.5%(7/8), the specificity was 91.7%(66/72), the positive predictive value was 53.8%(7/13), and the negative predictive value was 98.5%(66)./67), the accuracy was 91.3%(73/80). Conclusion The diagnosis of thyroid disease with B-ultrasound is effective and feasible.
引文
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[2]胡锡华. B超和CT在甲状腺结节性疾病诊断中的比较分析[J].临床医学工程,2015,22(6):693-694.
[3]焦俊平,徐改春,曹新兰,等.甲状腺疾病的B超临床诊断分析[J].中国实用医刊,2016,43(8):93-94.
[4]郭文芝.甲状腺疾病的B超临床诊断分析[J].中国社区医师,2015,31(22):94,96.
[5]魏雍.研究B超用于甲状腺疾病诊断中的临床效果[J].大家健康(中旬版),2016,10(9):55-57.
[6]王先永.甲状腺疾病的B超临床诊断分析探讨[J].临床研究,2016,24(6):173.
[7]张毅. B超运用在甲状腺疾病诊断中的临床价值探讨[J].中国社区医师,2016,32(26):129,131.
[8]郑守广,倪慕兰,章达桂,等.甲状腺肿瘤B超诊断与病理检查结果分析[J].中国社区医师,2016,32(24):126,128.
[9]詹想想,赵兵,杞灵斌.甲状腺疾病超声诊断的病理基础及临床价值[J].医学综述,2015,21(2):294-296.
[10]秦旭红,郝勇凯,王博,等.超声在甲状腺疾病前期诊断的重要性[J].影像技术,2015,27(5):12-13.
[11]彭丽.超声诊断老年人群甲状腺疾病的价值及病因分析[J].中国社区医师,2016,32(1):106,108.
[12]李霞,胡君.超声及超声弹性成像诊断甲状腺良恶性结节的诊断价值[J].中国继续医学教育,2018,10(10):63-65.
[13]王泽川.高频彩色多普勒超声对甲状腺疾病的诊断效果分析[J].现代诊断与治疗,2015,26(16):3729-3730.