摘要
目的研究多模态超声对甲状腺微小癌(TMC)的诊断价值。方法回顾性分析山西医科大学第六医院[太原钢铁(集团)有限公司总医院]2015年3月至2019年1月收治的TMC患者203例术前多模态超声[高频超声(HFU)、彩色多普勒(DU)、超声弹性成像(UE)]的资料,以术后病理结果为标准,分析多模态超声诊断结果与术后病理结果的一致性,计算多模态超声诊断效果指标,以受试者工作(ROC)曲线分析多模态超声对TMC的诊断价值。结果HFU、UE诊断结果与术后病理结果具有高度一致性,0.8<Kappa≤1.0;DU与术后病理结果具有较高一致性,0.6<Kappa≤0.8。多模态超声诊断TMC的灵敏度、特异度、诊断符合率分别为97.52%、91.94%、95.96%。HFU、UE对TMC具有较高诊断价值,曲线下面积(AUC)>0.9;DU对TMC具有中等诊断价值,0.7≤AUC≤0.9。结论多模态超声对TMC具有较高诊断价值,且因其重复性好、无创可适用于临床诊断、疗效评估及复查等。
Objective To study the diagnostic value of multimodal ultrasound in thyroid microcarcinoma(TMC).Methods The clinical data of 203 TMC patients in the Sixth Hospital of Shanxi Medical University from March 2015 to January 2019 were retrospectively analyzed.The preoperative multimodal ultrasound results[high frequency ultrasonography(HFU),color Doppler(DU),ultrasonic elastography(UE)]were collected,the postoperative pathological results were seen as the gold standard,and the consistency of multimodal ultrasound diagnosis and the pathological results was analyzed,the diagnosis effect index of multimodal ultrasound was calculated,ROC curve was used to analyze the diagnostic value of multimodal ultrasound for TMC.Results The diagnostic results of HFU,UE were highly consistent with the postoperative pathological results(0.8<Kappa≤1.0).There was a high consistency between DU and gold standard(0.6<Kappa≤0.8).The sensitivity,specificity and diagnostic coincidence rate of multimode ultrasonic in the diagnosis of TMC were 97.52%,91.94%and 95.96%,respectively.HFU and UE had high diagnostic value for TMC(AUC>0.9).DU had medium diagnostic value for TMC(0.7≤AUC≤0.9).Conclusion Multimodal ultrasonography has high diagnostic value for TMC,and it can be used in many fields such as clinical diagnosis,efficacy evaluation and reexamination due to its good repeatability and non-invasive.
作者
赵艳华
张青兰
周晓蓉
Zhao Yanhua;Zhang Qinglan;Zhou Xiaorong(Physical Examination Center,the Sixth Hospital of Shanxi Medical University,General Hospital of Taiyuan Iron and Steel(Group)Co.,Ltd.,Taiyuan,Shanxi 030007,China;Department of Ultrasound,the Sixth Hospital of Shanxi Medical University,General Hospital of Taiyuan Iron and Steel(Group)Co.,Ltd.,Taiyuan,Shanxi 030007,China)
出处
《中国基层医药》
CAS
2020年第5期581-585,共5页
Chinese Journal of Primary Medicine and Pharmacy
