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甲状腺微小乳头状癌诊断中常规超声联合超声造影的应用分析

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摘要 目的分析甲状腺微小乳头状癌诊断中常规超声联合超声造影的应用效果以及价值。方法以随机抽样法选取2018年1月至2020年9月盐城市大丰区第二人民医院收治的80例甲状腺实性单发结节患者作为研究对象,患者均接受常规超声诊断、超声造影诊断,病理组织经病理学分析并记录结果,根据病理结果,将80例研究对象分为甲状腺微小乳头状癌组(n=52)和甲状腺良性结节组(n=28),对比两组始增时间、达峰时间。以病理结果为金标准,对比常规超声、超声造影单一诊断以及联合诊断的灵敏度、特异度和准确度。结果80例甲状腺实性单发结节患者经病理诊断结果显示,甲状腺微小乳头状癌组始增时间、达峰时间明显长于甲状腺良性结节组(P<0.05)。常规超声结果显示80个结节中良性结节33个、恶性结节47个;超声造影结果显示80个结节中良性结节34个、恶性结节46个。常规超声诊断敏感度76.92%、特异度75.00%、准确度76.25%;超声造影诊断敏感度80.77%、特异度85.71%、准确度82.50%;联合超声诊断敏感度92.31%、特异度96.43%、准确度93.75%,联合超声诊断的诊断效能明显高于单一诊断(P<0.05)。结论甲状腺微小乳头状癌诊断中常规超声联合超声造影的诊断效能更高,具有较高诊断价值。
作者 臧晓华
出处 《大医生》 2021年第2期107-109,共3页 Doctor
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