摘要
目的评价彩色多普勒超声在甲状腺结节良恶性鉴别诊断中的效果。方法以2018年7月—2023年12月在安徽省无为市人民医院就诊的150例甲状腺结节病例为研究对象,全部病例均接受甲状腺彩色多普勒超声和甲状腺结节病理检查。以甲状腺结节病理检查结果为金标准,评价彩色多普勒超声用于鉴别甲状腺结节良恶性的价值,并分析不同超声图像特征在甲状腺结节良恶性鉴别诊断中的价值。结果以甲状腺结节病理检查结果为金标准,甲状腺彩色多普勒超声用于鉴别甲状腺结节良恶性的灵敏度为100.00%、特异度为95.87%、阳性预测值为85.29%、阴性预测值为95.87%、准确度为96.67%。甲状腺结节纵横比>1、边缘不规则和微钙化用于鉴别甲状腺结节良恶性的灵敏度均为100.00%,不规则声晕用于甲状腺结节鉴别诊断的特异度为100.00%;微钙化用于甲状腺结节鉴别诊断的准确度最高,为98.00%。结论彩色多普勒超声对于鉴别甲状腺结节良恶性具有较高价值,甲状腺结节纵横比>1、边缘不规则和微钙化等超声图像特征对于鉴别甲状腺结节良恶性具有重要参考价值。
Objective To evaluate the efficiency of colored Doppler ultrasound for the differential diagnosis of benign and malignant thyroid nodules.Methods A total of 150 patients with thyroid nodules admitted to Wuwei Municipal People’s Hospital,Anhui Province,China during the period from July 2018 to December 2023 were enrolled.All patients underwent colored Doppler ultrasound of the thyroid gland and pathological examination of the thyroid nodules.The pathological exam-ination of the thyroid nodules served as a gold standard to evaluate the value of colored Doppler ultrasound for the differen-tial diagnosis of benign and malignant thyroid nodules.In addition,the value of different ultrasound image features for dif-ferential diagnosis of benign and malignant thyroid nodules was evaluated.Results With the pathological examination of the thyroid nodules as a gold standard,the sensitivity,specificity,positive predictive value,negative predictive value,and ac-curacy of the colored Doppler ultrasound were 100.00%,95.87%,85.29%,95.87%,and 96.67%for the differential diagnos-is of benign and malignant thyroid nodules.For differential diagnosis of benign and malignant thyroid nodules,a>1 ratio of longitudinal to transverse diameters of thyroid nodules,irregular margin,and microcalcification showed a 100.00%sensitiv-ity,irregular acoustic halos showed a 100.00%specificity,and microcalcification had the highest accuracy(98.00%).Conclusion Colored Doppler ultrasound has a high value for the differential diagnosis of benign and malignant thyroid nodules.A>1 ratio of longitudinal to transverse diameters of thyroid nodules,irregular margin,and microcalcification provide valuable insights into the differentiation between benign and malignant thyroid nodules.
作者
黄星月
袁霄
夏允
吴蕾
刘悌
HUANG Xingyue;YUAN Xiao;XIA Yun;WU Lei;LIU Ti(Department of Ultrasound Medicine,Wuwei Municipal People’s Hospital,Wuwei 238300 China)
出处
《中国辐射卫生》
2024年第5期590-594,共5页
Chinese Journal of Radiological Health
关键词
彩色多普勒超声
甲状腺结节
鉴别诊断
诊断效能
Colored Doppler ultrasound
Thyroid nodule
Differential diagnosis
Diagnostic efficiency
