摘要
目的:研究并分析健康体检中常规超声联合超声弹性成像在甲状腺微小癌诊断中的临床意义,为今后飞行员甲状腺疾病的诊断提供有力依据。方法:选取2013年6月至2016年6月284个<1 cm的甲状腺结节进行常规超声及超声弹性成像检查。结果:良性结节221个(77.8%),恶性结节63个(22.2%),均经细针穿刺细胞学(fine needle aspiration cytology,FNAC)结果、手术及病理证实,其中甲状腺乳头状癌60个,滤泡状癌1个,髓样癌2个。良性结节与恶性结节应变率比值比较,差异有统计学意义(P<0.05)。良性甲状腺结节及恶性甲状腺结节超声弹性评分差异有统计学意义(P<0.05)。超声弹性成像鉴别甲状腺<1 cm微小结节良恶性的敏感性、特异性及准确性分别为90.3%、83.2%、86.9%。结论:常规超声联合超声弹性成像可提高甲状腺微小癌诊断的准确性,对飞行员甲状腺癌的早发现、早诊断、早治疗具有重要意义。
Objective To study the clinical significance of combined routine ultrasound and ultrasound elastography in diagnosing thyroid microcarcinoma so as to facilitate the diagnoses of the thyroid diseases of the pilot. Methods Totally 284 thyroid nodules with the sizes less than 1 cm underwent routine ultrasound and ultrasound elastography examinations from June 2013 to June 2016. Results There were 221 benign nodules（77.8%） and 63 malignant ones（22.2%） confirmed by FNAC cytological, surgical and pathological examinations. Of the 63 malignant nodules, there were 60 cases of thyroid papillary carcinoma, one case of follicular carcinoma and two cases of medullary carcinoma. There was significant difference between the strain ratios of the benign and malignant nodules（P〈0.05）, the ultrasound elastography scores of the benign nodules were statistically different from those of the malignant nodules（P〈0.05）. The sensitivity, specificity and accuracy of ultrasound elastography were 90.3%, 83.2% and 86.9% respectively when used to diagnose the thyroid nodule with the size less than 1 cm. Conclusion Routine ultrasound combined with ultrasound elastography can improve the diagnosis accuracy of small thyroid cancer, and is of great significance in early diagnosis and treatment of thyroid cancer of the pilot.
出处
《医疗卫生装备》
CAS
2017年第6期112-114,共3页
Chinese Medical Equipment Journal
