首页|Tg、TgAb联合ECT在甲状腺癌中的诊断价值

Tg、TgAb联合ECT在甲状腺癌中的诊断价值

扫码查看
目的 分析甲状腺球蛋白(Tg)、甲状腺球蛋白抗体(TgAb)联合发射型计算机断层扫描(ECT)在甲状腺癌(TC)中的诊断价值。方法 以我院 2021 年 1 月至 2023 年 2 月收治的 82 例TC患者为病例组,并以同期50 名进行健康体检者为对照组。两组均接受Tg、TgAb、ECT检查。以病理诊断为金标准,比较三者单独及联合检查对TC的诊断效能。结果 病例组的Tg、TgAb水平及冷结节、边缘不规则占比高于对照组,差异具有统计学意义(P﹤0。05)。Tg、TgAb、ECT联合检查诊断TC的灵敏度、特异度、准确度、阳性预测值、阴性预测值高于单一Tg、TgAb、ECT检查,差异具有统计学意义(P﹤0。05)。82 例患者中,术后复发 6 例,复发率为7。32%;复发组的Tg、TgAb水平及冷结节、边缘不规则占比高于未复发组,差异具有统计学意义(P﹤0。05)。结论 TC诊断过程中,Tg、TgAb、ECT联合检查能够为其提供良好的数据支撑,具有较高诊断价值,值得推广和应用。
Diagnostic value of Tg,TgAb combined with ECT in thyroid carcinoma
Objective To analyze the diagnostic value of thyroglobulin(Tg),thyroglobulin antibody(TgAb)combined with emission computed tomography(ECT)in thyroid carcinoma(TC).Methods A total of 82 TC patients admitted in our hospital from January 2021 to February 2023 were selected as case group,and 50 healthy people who underwent physical examination during the same period were selected as control group.Both groups were examined by Tg,TgAb and ECT.Taking pathological diagnosis as the gold standard,the diagnostic efficacy of three tests on TC alone and in combination was compared.Results The levels of Tg and TgAb and the proportions of cold nodules and border irregularity in the case group were higher than those in the control group,and the differences were statistically significant(P<0.05).The sensitivity,specificity,accuracy,positive predictive value and negative predictive value of combined examination of Tg,TgAb and ECT were higher than those of single examination of Tg,TgAb and ECT,and the differences were statistically significant(P<0.05).Of the 82 patients,6 recurred after operation,with a recurrence rate of 7.32% ;the levels of Tg and TgAb and the proportions of cold nodules and border irregularity in recurrent group were higher than those in non-recurrent group,and the differences were statistically significant(P<0.05).Conclusion In the diagnosis process of TC,the combined examination of Tg,TgAb and ECT can provide good data support and has high diagnostic value,which is worth promoting and applying.

thyroid carcinomathyroglobulinthyroglobulin antibodyemission computed tomographypathological diagnosis

吴佳鑫、毛秋粉、黄诚

展开 >

河南科技大学第一附属医院核医学科,河南 洛阳,471000

甲状腺癌 甲状腺球蛋白 甲状腺球蛋白抗体 发射型计算机断层扫描 病理诊断

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(6)
  • 15