摘要
目的:评估超声成像联合McGill甲状腺结节评分(MTNS)系统鉴别结节大小和良恶性肿瘤的临床价值。方法:回顾性分析112例甲状腺结节患者的临床资料,患者病灶经超声引导细针穿刺鉴定,再计算患者的MTNS分数、结节大小及假阴性率。结果:在112例甲状腺结节患者中,MTNS为1~18分,平均得分(6.83±2.31)分,最终病理确诊16例(占14.29%)为恶性结节,96例为良性结节(85.71%)。恶性结节MTNS的分值明显大于良性。超声成像显示,结节直径1~8.9cm,平均(4.13±4.13)cm。MTNS与结节直径之间呈正相关(r=0.146,P<0.05)。超声成像显示,恶性结节平均直径为(3.67±1.60)cm,恶性为(4.23±1.51)cm。漏诊的恶性结节主要分布于大直径结节中。结论:超声成像联合MTNS,可以更好地预测甲状腺结节的良恶性风险。
Objective： To assess the clinical value of ultrasonic imaging in combination with McGill thyroid nodules score（MTNS） system in differential diagnosis of nodule size and benign and malignant tumors. Methods： The clinical data of a total of 112 patients with thyroid nodules were analyzed retrospectively. The nidus of the patients was identified by ultrasound-guided fine needle aspiration biopsy, and then the MTNS, nodule size and false negative rate of the patients were calculated, respectively. Results： The MTNS of the 112 cases of patients with thyroid nodules was within the range of 1 to 18, with an average score of（6.83±2.31）. 16 cases with malignant nodules（the percent was 14.29%） were finally diagnosed by pathology, and 96 cases were diagnosed with benign nodules（the percent was 85.71%）. The MTNS of patients with malignant nodules was significantly higher than that of those with benign nodules. Ultrasonic imaging showed that the nodule diameter was within the range of 1 to 8.9 cm, with an average diameter of（4.13±4.13） cm. MTNS was positively correlation with nodule diameter（r=0.146, P〈0.05）. Besides, the average diameter of benign nodules was（3.67±1.60） cm, and that of malignant nodules was（4.23±1.51） cm. The missed diagnosed malignant nodules mainly were large diameter nodules. Conclusion： Ultrasound imaging in combination with MTNS can better predict the benign or malignant risk of thyroid nodules.
出处
《中国医学装备》
2017年第3期70-72,共3页
China Medical Equipment
