摘要
目的:探讨灰阶超声(gray-scale ultrasound,GSUS)和彩色多普勒超声(color doppler ultrasound,CDUS)及两者联合在甲状腺结节鉴别诊断中的价值。方法:选取2014年1月-2018年7月在我院就诊的甲状腺结节患者80例,共96个结节,术前接受甲状腺灰阶超声及彩色多普勒检查,分析不同甲状腺结节超声声像图表现,并将超声诊断结果与术后病理诊断结果进行对照。结果:96个甲状腺结节中,良性结节58个,恶性结节38个,灰阶超声诊断甲状腺良恶性结节的敏感性、特异性、准确性分别为76%、86%、82%,彩色多普勒超声诊断甲状腺良恶性结节的敏感性、特异性、准确性分别为74%、83%、77%,两者联合诊断甲状腺良恶性结节的敏感性、特异性、准确性分别为87%、91%、86%。采用ROC曲线分析,灰阶超声诊断甲状腺良恶性结节的曲线下面积为0.827,95%CI(0.737,0.897),彩色多普勒超声诊断甲状腺良恶性结节的曲线下面积为0.810,95%CI(0.718,0.883),两者联合诊断甲状腺良恶性结节的曲线下面积为0.891,95%CI(0.811,0.946)。结论:灰阶超声和彩色多普勒均对甲状腺良恶性结节有一定的诊断价值,两者联合可提高甲状腺良恶性结节的诊断效能。
Objective： To explore the diagnostic value of gray-scale ultrasound （GSUS） and color doppler ultrasound（CDUS） and their combination in the diagnosis of thyroid nodules. Methods： A total of 80 thyroid patients with 96 thyroid nodules who had undergone GSUS and CDUS before the nodules were removed from January 2014 to July 2018 at the Hospital were selected.The ultrasonographic features of different thyroid nodules were analyzed.Pathological results were used as diagnosis standard to compare the GSUS,CDUS and their combination in the diagnosis of thyroid nodules. Results： In the 96 thyroid nodules which were confirmed by pathological results,58 were benign and 38 were malignant.The gray-scale ultrasound（GSUS） diagnose the benign and malignant thyroid nodules of the sensitivity,specificity,accuracy,were76%,86%,82%.The color doppler ultrasound diagnose the benign and malignant thyroid nodules of the sensitivity,specificity,accuracy were74%,83%,77%.Both of the sensitivity,specificity,accuracy were 87%,91%,86% respectively.The area under the curve of gray scale ultrasound diagnosis of thyroid benign and malignant nodules was 0.827,95%CI （0.737,0.897） with ROC curve analysis.The area under the curve of color Doppler ultrasound diagnosis of thyroid benign and malignant nodules was 0.810,95%CI （0.718,0.883）,and the area under the curve of combined diagnosis of thyroid benign and malignant nodules was 0.891,95%CI（0.811,0.946）. Conclusion： Gray-scale ultrasound（GSUS） and color doppler ultrasound（CDUS） are valuable for the diagnosis of thyroid benign and malignant nodules.The combination of them can improve the diagnosis of benign and malignant thyroid nodules.
作者
李燕雯
LI Yan-wen(B-mode Ultransound Room,the Hospital of Shihezi Town,Xinjiang Shihezi,83200)
出处
《农垦医学》
2018年第4期327-331,共5页
Journal of Nongken Medicine
关键词
灰阶超声
彩色多普勒
甲状腺结节
诊断
Gray-scale ultrasound；Color doppler ultrasound；Thyroid nodules；Diagnosis
