甲状腺结节钙化在超声诊断甲状腺癌中的价值分析
Value of Thyroid Nodules Calcification in Ultrasound Diagnosis of Thyroid Cancer
吕显玉 1朱武银 1姚奇1
作者信息
- 1. 遵义市正安县人民医院超声医学科,贵州遵义 563400
- 折叠
摘要
目的 探讨甲状腺结节钙化在超声诊断甲状腺癌中的价值.方法 随机选择2020年1月—2023年6月遵义市正安县人民医院收治的甲状腺结节患者230例进行研究,所有患者均接受超声检查.将病理检查结果作为金标准,分析超声诊断甲状腺结节准确性;同时,比较良性与恶性甲状腺结节钙化情况、钙化特征,以及不同类型甲状腺恶性结节钙化情况.结果 病理检查诊断良性结节138例、恶性结节92例,超声诊断良性和恶性的诊断符合分别为97.10%、94.57%.良性甲状腺结节检出钙化率为17.39%,明显低于恶性甲状腺结节的65.22%,差异有统计学意义(χ2=54.462,P<0.05);与恶性甲状腺结节相比,良性甲状腺结节检出钙化形态粗钙化率、钙化结节边界状态模糊率、钙化结节数目多发率更高,差异有统计学意义(P均<0.05).甲状腺恶性结节中,乳头状癌微钙化例数明显多于粗钙化,其中微钙化最多的是乳头状癌,而粗钙化主要以乳头状癌与滤泡状癌为主.结论 超声检查诊断甲状腺结节良性与恶性准确率较高,甲状腺结节钙化表现能为良恶性鉴别提供依据.
Abstract
Objective To investigate the value of thyroid nodules calcification in ultrasound diagnosis of thyroid carcinoma.Methods A total of 230 patients with thyroid nodules treated in Zheng'an County People's Hospital of Zunyi City from January 2020 to June 2023 were randomly selected for the study,and all of them re-ceived ultrasound diagnosis.The accuracy of ultrasonic diagnosis of thyroid nodules was analyzed by using the pathological examination results as the gold standard.At the same time,the calcification of benign and malig-nant thyroid nodules,the characteristics of calcification,and the calcification of different types of thyroid malig-nant nodules were compared.Results Pathological examination diagnosed 138 benign nodules and 92 malig-nant nodules,and the diagnostic coincidence rate of ultrasound diagnosis of benign and malignant was 97.10%and 94.57%.The calcification rate of benign thyroid nodules was 17.39%,which was significantly lower than that of malignant thyroid nodules(65.22%),the difference was statistically significant(χ2=54.462,P<0.05).Compared with malignant thyroid nodules,the rate of coarse calcification in the form of calcification,the fuzzy rate of the boundary state of calcified nodules and the multiple number of calcified nodules were higher in be-nign thyroid nodules,and the differences were statistically significant(all P<0.05).In the malignant nodules of thyroid gland,the number of microcalcifications of papillary carcinoma was significantly more than that of crude calcifications,and the most microcalcifications were papillary carcinoma,while the latter were mainly papillary carcinoma and follicular carcinoma.Conclusion The accuracy of ultrasonography in the diagnosis of benign and malignant thyroid nodules is high,and the manifestations of thyroid nodules calcification can pro-vide evidence for the differentiation of benign and malignant thyroid nodules.
关键词
甲状腺结节/超声检查/钙化情况/甲状腺癌/良恶性结节Key words
Thyroid nodules/Ultrasound examination/Calcification/Thyroid cancer/Benign and malig-nant nodules引用本文复制引用
出版年
2024
NETL
NSTL
维普
万方数据