摘要
目的探讨高频超声联合CT诊断甲状腺微小乳头状癌(PTMC)淋巴结转移的诊断价值。方法选取2015年8月至2019年7月在我院治疗的PTMC患者120例,均行超频超声及CT检查。比较两种检查方法诊断结果及联合诊断结果与病理学检查结果的一致性;以病理学检查结果为标准,比较超频超声、CT联合诊断及单独诊断对PTMC淋巴结转移的诊断效能;采用ROC曲线分析超频超声、CT联合诊断及单独诊断对PTMC淋巴结转移的诊断价值。结果联合诊断结果与病理学检查结果的一致性(Kappa=96.63)高于高频超声(Kappa=71.52)及CT(Kappa=64.10);联合检测诊断PTMC淋巴结转移的阳性预测值、阴性预测值、特异度、准确度高于超频超声及CT,灵敏度高于超频超声(P<0.05);超频超声及CT联合检测诊断PTMC淋巴结转移的AUC大于单独检测(P<0.05)。结论高频超声联合CT对PTMC淋巴结转移具有较高的诊断价值,且诊断灵敏度、特异度、准确度较高。
Objective to explore diagnostic value of high-frequency ultrasound(HFUS)combined with Ct in lymph node metastasis of papillary thyroid micro-carcinoma(PtMC).Methods A total of 120 PtMC patients who were treated in the hospital from August 2015 to July 2019 were enrolled.All underwent HFUS and Ct examinations.the diagnostic results of the two examination methods and consistency between combined diagnostic results and pathological examination results were compared.taking pathological examination results as standard,diagnostic efficiency of HFUS combined with Ct diagnosis and their single diagnosis for lymph node metastasis of PtMC was compared.rOC curve analysis was applied to analyze the diagnostic value of HFUS combined with Ct and their single diagnosis for lymph node metastasis of PtMC.results the consistency between combined diagnosis results and pathological examination results was higher than between HFUS and pathological examination and between Ct and pathological examination(Kappa:96.63 vs.71.52,64.10).the positive and negative predictive values,specificity,and accuracy of combined detection were higher than those of HFUS and Ct alone for diagnosis of lymph node metastasis of PtMC.Moreover,the sensitivity of combined detection was higher than that of HFUS(P<0.05).AUC of HFUS combined with Ct for PtMC lymph node metastasis diagnosis was greater than that of their single detection(P<0.05).Conclusion HFUS combined with Ct is of a relatively higher diagnostic value for PtMC lymph node metastasis,whose diagnostic sensitivity,specificity,and accuracy are higher.
作者
李皓盈
王海燕
翁璐昕
LI Hao-ying;WANG Hai-yan;WENG Lu-xin(Department of Ultrasound,Henan No.3 Provincial People's Hospital,Zhengzhou 450000,Henan Province,China;Department of Ultrasound,Anyang Cancer Hospital,Anyang 455004,Henan Province,China)
出处
《中国CT和MRI杂志》
2021年第12期27-29,32,共4页
Chinese Journal of CT and MRI
关键词
高频超声
CT
甲状腺微小乳头状癌
淋巴结转移
联合诊断
High-Frequency Ultrasound
CT
Papillary Thyroid Micro-carcinoma
Lymph Node Metastasis
Combined Diagnosis
