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超声在甲状腺结节检查中的价值分析

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目的:在患者中应用超声检查对甲状腺结节的临床价值.方法:选取2021年7月~2023年6月本院接诊的124名甲状腺结节患者为观察对象,分析使用超声检查和核素显像对甲状腺疾病诊断准确率、灵敏度、特异性差异,评价超声诊断对甲状腺疾病的诊断意义.结果:超声检查的诊断准确率、特异性、灵敏度分别为92.74%、87.80%、91.50%,核素显像分别为79.84%、73.70%、78.90%,两组数据相比P<0.05;超声诊断结果如下:甲状腺癌7例(100.00%)、甲状腺腺瘤16例(84.21%)、囊肿7例(87.50%)、甲状腺炎5例(83.33%)、结节性肿块80例(95.24%),诊断符合率115例(92.74%),甲状腺炎B超检查均无声晕,甲状腺癌只有1例存在声晕(14.29%).结论:超声检查对甲状腺结节良恶性鉴别诊断具有较高的临床价值,较核素显像诊断符合率更高.
Analysis of the Value of Ultrasound in the Screening of Thyroid Nodules
Objective:To evaluate the clinical value of ultrasound examination for thyroid nodules in patients.Methods:124 patients with thyroid nodules who came to our hospital from July 2021 to June 2023 were selected to analyze the differences in accuracy,sensitivity,and specificity of thyroid disease diagnosis using ultrasound and nuclide imaging,and to evaluate the diagnostic significance of ultrasound diagnosis for thyroid diseases.Results:The diagnostic accuracy,specificity,and sensitivity of ultrasound examination were 92.74%,87.80%,and 91.50%,respectively,while those of nuclide imaging were 79.84%,73.70%,and 78.90%,respectively.The comparison between the two groups of data was P<0.05;The ultrasound diagnosis results were as follows:7 cases(100.00%)of thyroid cancer,16 cases(84.21%)of thyroid adenoma,7 cases(87.50%)of cyst,5 cases(83.33%)of thyroiditis,and 80 cases(95.24%)of nodular mass.The diagnostic accuracy rate was 115 cases(92.74%),and the ultrasound examination of thyroiditis shows no sound halo.Only 1 case of thyroid cancer has sound halo(14.29%).Conclusion:Ultrasound examination has high clinical value in the differential diagnosis of benign and malignant thyroid nodules,and has a higher diagnostic accuracy compared to nuclear imaging.

thyroid nodulesultrasound diagnosisradionuclide imagingapplication value

马卫医、齐秀会、马洪生

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天津市宝坻区人民医院超声科(天津 301800)

天津市宝坻区人民医院护理部(天津 301800)

天津市宝坻区宝平医院普外科(天津 301800)

甲状腺结节 超声诊断 核素显像 应用价值

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(19)