首页|C-TIRADS及弹性评分法联合Bethesda报告系统对甲状腺结节的诊断价值

C-TIRADS及弹性评分法联合Bethesda报告系统对甲状腺结节的诊断价值

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目的 探讨中国超声甲状腺影像报告和数据系统(C-TIRADS)及弹性评分法联合Bethesda报告系统(TB-SRTC)对甲状腺结节的诊断价值.方法 纳入2020年12月至2022年12月嘉兴市第一医院手术治疗的甲状腺结节患者122例,均行术后病理检查.术前根据常规超声检查发现甲状腺结节134个,再行弹性评分检查以及C-TIRADS分类,并在甲状腺细针穿刺活检(FNAB)后进行TBSRTC分级.以病理检查结果为金标准,分析不同诊断方法对甲状腺结节性质的诊断价值.结果 TBSRTC单独诊断恶性甲状腺结节的灵敏度、准确度、阴性预测值分别为0.903、0.881、0.714,高于弹性评分(0.709、0.754、0.483)与 C-TIRADS(0.718、0.716、0.431)(均 P<0.05).弹性评分、C-TIRADS 联合 TBSRTC 诊断恶性结节的灵敏度为 0.971,高于弹性评分联合 C-TIRADS(0.757)、弹性评分联合 TBSRTC(0.903)、C-TIRADS 联合 TBSRTC(0.903)(P<0.05).弹性评分联合TBSRTC诊断恶性C-TIRADS 4B类以上结节的灵敏度为0.973,高于弹性评分(0.811)、TBSRTC(0.878)(均P<0.05).结论 TBSRTC单独诊断甲状腺结节性质的效果优于弹性评分、C-TIRADS,3者联合可提升诊断效能,且弹性评分联合TBSRTC对C-TIRADS 4B类以上结节性质的评估具有良好诊断价值.
Sensitivity of C-TIRADS,elasticity scoring system and Bethesda system in diagnosis of malignant thyroid nodules
Objective To analyze the diagnostic sensitivity of Chinese-thyroid imaging reporting and data system(C-TIRADS),elasticity scoring system and the Bethesda system for reporting thyroid cytopathology(TBSRTC)in diagnosis of malignant thyroid nodules.Methods A total of 122 patients with 134 thyroid nodules admitted to the First Hospital of Jiaxing from June 2020 to June 2022 were enrolled.All patients underwent routine ultrasonography with elasticity scoring and C-TIRADS classification,and TBSRTC grading was performed after thyroid fine needle aspiration biopsy(FNAB).Taking pathological diagnosis as the gold standard,the diagnostic value of different diagnostic methods for thyroid nodule properties was analyzed.Results The sensitivity,accuracy and negative predictive value of TBSRTC classification were 0.903,0.881 and 0.714,which were higher than those of elasticity scores(0.709,0.754,0.483)and C-TIRADS(0.718,0.716,0.431)(all P<0.05).The sensitivity of elasticity score and C-TIRADS combined with TBSRTC in the diagnosis of malignant nodules was 0.971,which was higher than that of elasticity score combined with C-TIRADS(0.757),elasticity score combined with TBSRTC(0.903)and C-TIRADS combined with TBSRTC(0.903)(all P<0.05).The sensitivity of elasticity score combined with TBSRTC in diagnosis of malignant nodules>C-TIRADS class 4B was 0.973,which was higher than that of elasticity score(0.811)or TBSRTC(0.878)alone(P<0.05).Conclusion TBSRTC alone is better than elasticity score and C-TIRADS in the diagnosis of malignant thyroid nodules,and the combination of the three methods can improve the diagnosis effect.Elasticity score combined with TBSRTC has good diagnostic value in evaluating the nature of nodules>C-TIRADS class 4B.

Chinese-thyroid imaging reporting and data systemThyroid noduleUltrasonic elasticity scoreBethesda system for reporting thyroid cytopathology

张小航、全丽娟

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314001 嘉兴市第一医院超声科

中国超声甲状腺影像报告和数据系统 甲状腺结节 超声弹性评分 Bethesda报告系统

2024

浙江医学
浙江省医学会

浙江医学

CSTPCD
影响因子:0.428
ISSN:1006-2785
年,卷(期):2024.46(6)
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