摘要
目的探讨高频超声联合CT诊断甲状腺乳头癌的临床意义。方法回顾性分析本院93例疑似甲状腺乳头癌患者的临床资料,其中经手术病理检查证实69例。术前均行高频超声、CT检查。以手术病理结果为标准,比较高频超声、CT单独诊断与联合诊断时诊断效能。结果高频超声、CT联合诊断的敏感度、特异度、准确度分别为98.55%、91.67%、96.77%,显著高于高频超声(86.96%、62.50%、80.65%)及CT诊断(85.51%、58.33%、78.49%)(P<0.05);高频超声、CT联合检查对微钙化、淋巴结转移检出率显著高于单一诊断(P<0.05)。结论甲状腺乳头癌检查中联用高频超声、CT具有较高诊断效能。
Objective To explore the clinical significance of high frequency ultrasound combined with CT in the diagnosis of thyroid papillary carcinoma.Methods The clinical data of 93 suspected thyroid papillary carcinoma patients in our hospital were retrospectively analyzed,among whom 69 cases were confirmed by surgical pathology examination.Preoperative high frequency ultrasound and CT examination were performed.Taking pathological results of surgery as diagnostic criteria,the diagnostic efficacy of high frequency ultrasound,CT diagnosis and combined examination were compared.Results The sensitivity,specificity and accuracy of high-frequency ultrasound and CT in combination were 98.55%,91.67%and 96.77%,respectively,which were higher than high-frequency ultrasound(86.96%,62.50%and 80.65%,respectively)and CT diagnosis(85.51%,58.33%,78.49%,respectively)(P<0.05);the detection rates of microcalcification and lymph node metastasis by examination of high-frequency ultrasound and CT in combination were higher than that by examination alone(P<0.05).Conclusion High frequency ultrasonography and CT in thyroid papillary carcinoma examination have high diagnostic efficiency.
作者
庄二宝
王磊
ZHUANG Erbao;WANG Lei(Department of Ultrasound,Fugu County People's Hospital in Shaanxi Province, Yulin,Shaanxi,719400;Department of General Surgery,Shangzhou District People's Hospital in Shangluo City,Shangluo,Shaanxi,726000)
出处
《实用临床医药杂志》
CAS
2019年第18期19-21,共3页
Journal of Clinical Medicine in Practice
关键词
甲状腺乳头癌
高频超声
CT
联合诊断
thyroid papillary carcinoma
high frequency ultrasound
CT
diagnosis in combination
