首页|超声穿刺在甲状腺TI-RADS 4类结节诊断中的价值分析

超声穿刺在甲状腺TI-RADS 4类结节诊断中的价值分析

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目的 分析超声新技术应用在甲状腺TI-RADS 4类结节诊断中的价值。方法 本次研究中对50例甲状腺结节患者进行了回顾性研究,所有患者均于2021年1月—2023年12月来医院诊疗,先行常规超声扫描,依据TI-RADS评定结节恶性风险性,分成4a、4b、4c类,全部患者皆在超声引导之下开展细针穿刺检查,以患者术后病理诊断结果作为基准,评估穿刺在甲状腺结节TI-RADS 4类结节诊断中的特异度、准确度、灵敏度。结果 甲状腺影像报告及数据系统分析的阳性预测值、灵敏度、准确率、特异度、阴性评估值,4a类为100。0%、100。0%、100。0%、100。0%、100。0%,4b类为90。1%、75%、83。0%、94。7%、60。0%,4c类为94。1%、100。0%、94。4%、100。0%、50。00%,整体为92。1%、91。6%、92。0%、97。2%、78。5%。结论 超声引导下穿刺对甲状腺良恶性结节的辨别具备高度敏感性、特异度及准确性,并进一步明确TI-RADS分类4a恶性风险低,4b、4c恶性风险高,研究价值较高。
Value Analysis of Ultrasound Puncture in Diagnosis of Ti-Rads Type 4 Thyroid Nodules
Objective To analyze value of new ultrasound technology in diagnosis of TI-RADS type 4 thyroid nodules.Methods The paper reviewed and researched 50 patients with thyroid nodules in the hospital from January 2021 to December 2023.Routine ultrasound scans were performed first,malignancy risk of nodules was evaluated based on TI-RADS.The paper divided them into categories 4a,4b,and 4c,all patients were treated with fine needle puncture examination under ultrasound guidance.Specificity,accuracy,and sensitivity of puncture were evaluated in diagnosis of thyroid nodules under TI-RADS based on postoperative pathological diagnosis results of patients.Results Positive predictive values,sensitivity,accuracy,specificity,and negative evaluation values of thyroid imaging reports and data system analysis were 100.0%,100.0%,100.0%,100.0%,and 100.0%for category 4a,90.1%,75%,83.0%,94.7%,and 60.0%for category 4b,and 94.1%,100.0%,94.4%,100.0%,and 50.00%for category 4c.Overall values were 92.1%,91.6%,92.0%,97.2%,and 78.5%.Conclusion Ultrasound guided puncture has high sensitivity,specificity,and accuracy in distinguishing benign and malignant thyroid nodules,can further clarify that TI-RADS classification 4a has low risk of malignancy,while 4b and 4c has high risk of malignancy,which has high research value.

Thyroid nodulesFine needle puncturePathological examination

冯峰

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徐州矿务集团总医院,江苏 徐州 221006

甲状腺结节 细针穿刺 病理检查

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(1)
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