摘要
目的探讨超声检查在健康体检中对恶性肿瘤检出的价值。方法 2011-2012年我院健康体检中心从95 267例人群中共检出183例恶性肿瘤患者,比较超声与放射、检验、内镜对恶性肿瘤检出的贡献。结果病理确诊恶性肿瘤183例(检出率为1.921‰),其中首诊超声110例(1.155‰)、放射38例(0.399‰)、检验25例(0.262‰)、内镜8例(0.084‰)、外科2例(0.021‰),首诊贡献率超声与其他检查比较差异有统计学意义(均P<0.05);超声检出恶性肿瘤的前4位依次为甲状腺癌(49例)、肾癌(22例)、肝癌(16例)和乳腺癌(10例);超声检出小癌前4位依次为甲状腺微小癌(26例)、小肝癌(12例)、小乳癌(10例)、小肾癌(8例)。结论超声可检出无症状甲状腺、乳腺、肝、肾等实质性脏器的早期恶性肿瘤;超声作为无创伤的检查手段,在健康体检中具有较大的应用价值和潜力,如注重检中质控和检后随访可提高恶性肿瘤的检出率。
Objective To discuss the value of ultrasonography for the detection of malignant tumors in health examination. Methods Among 95 267 individuals in our health examination center from 2011 to 2012, 183 cases of malignant tumors were detected. The contribution of ultrasound, radiology and clinical laboratory in detection of malignant tumors were compared. Results A total of 183 cases were pathological diagnosed as malignancy （detec- tion rate of 1.921‰）, in which, 110 cases were first diagnosed by ultrasound （1.155‰）, 38 cases by radiation （0.399‰）, 25 cases by clinical laboratory （0.262‰）, 8 cases by electronic gastroscopy （0.084‰） and 2 cases by surgi- cal procedure （0.021‰）. The detection rate of ultrasound on the first diagnosis was higher than other tests, and the dif- ference was statistically significant （P〈0.05）. The top 4 malignant tumors detected by ultrasound were thyroid cancer （49 cases）, kidney cancer （22 cases）, liver cancer （16 cases） and breast cancer （10 cases） successively. The top 4 small malignant tumors detected by ultrasound were tiny thyroid cancer （26 cases）, small hepatocellular carcinoma （12 cas- es）, small breast cancer （I0 cases）, smalI renal cell carcinoma （8 cases）. Conclusion Ultrasound detection can detect early asymptomatic malignancies of parenchyma organs including thyroid, breast, liver, and kidney. As a non-invasive examination method, ultrasound has a great application value in health examination. Paying more attention to quality control in the process of examination and follow-up after examination can improve the cancer detection.
出处
《海南医学》
CAS
2015年第5期673-676,共4页
Hainan Medical Journal
基金
江苏省自然科学基金(编号:BK2011162)
江苏省卫生厅科研课题(编号:Z201228
Y2012021
B2013073)
无锡市科技局研发基金(编号:CMB21S1301)
关键词
超声检查
健康体检
恶性肿瘤
检出率
Ultrasonography
Health examination
Malignant tumor
Detection rate
