摘要
目的探讨彩色多普勒超声检测甲状腺结节内钙化对良恶性结节的诊断价值。方法 2013年11月-2016年5月在某院手术治疗的甲状腺结节患者357例,回顾性分析患者的一般资料、术前彩色超声资料及术后病理结果,分析钙化类型与甲状腺结节良恶性的关系,彩超检查甲状腺结节内钙化对甲状腺癌的灵敏度、特异度。结果在52例甲状腺癌中超声检测出43例结节内钙化,占总数的82.69%明显高于甲状腺良性疾病12.13%的钙化率(P<0.05);且微钙化在甲状腺癌的检出率为71.15%明显高于甲状腺良性结节2.62%微钙化率(P<0.05),环状钙化及粗钙化检出率对于甲状腺良恶性诊断无明显差异(P>0.05);微钙化、环状钙化、粗钙化对甲状腺癌的敏感度分别为80.43%、25.00%、25.00%,特异度分别为97.10%、97.10%、92.73%。结论微钙化对于甲状腺癌的诊断具有较高的敏感度和特异度,可将彩超检查甲状腺结节内微钙化作为筛选甲状腺癌的特异度指标。
Objective To study the color doppler ultrasound in thyroid nodule calcification value to the diagnosis of benign and malignant nodules. Methods 357 patients with thyroid nodules undergoing surgery treatment between November 2013 to May 2016 in our hospital were analyzed retrospectively with general information, preoperative color ultrasound and postoperative pathological re-sults, calcified type and the relationship between benign and malignant thyroid nodule, and the sensitivity and specificity of checking thyroid nodules of calcification in thyroid carcinoma. Results In 52 cases of thyroid carcinoma, 43 cases of calcification were detected by ultrasonography, accounting 82.69% of the total and was significantly higher than thyroid benign disease calcification （12.13%） （P〈0.05）;Microcalcification in thyroid cancer detection rate was 71.15% and obviously higher than that of benign thyroid nodules with 2.62% microcalcification rate （ P〈0.05）;Annular calcification and coarse calcification detection rate for benign and malignant thyroid diagnosis has no obvious difference （P〉0.05）; The sensitivity of the Microcalcification, annular, and coarse calcification in thyroid carcinoma were 80.43%, 25.00%, 25.00%, and specificity were 97.10%, 97.10% and 92.73% respectively. Conclusion The tiny calcification in thyroid carcinoma diagnosis has high sensitivity and specificity, and can be screening thyroid cancer specific indicators.
出处
《东南国防医药》
2016年第4期395-397,共3页
Military Medical Journal of Southeast China
关键词
彩色多普勒超声
甲状腺结节
钙化灶
color doppler ultrasound
thyroid nodule
calcifications
