高频超声联合彩色多普勒超声对甲状腺良/恶性结节的诊断价值

doi:10.7517/issn.1674-0475.200605

摘要/Abstract

摘要： 本文探讨了高频超声联合彩色多普勒超声对甲状腺结节良/恶性的诊断价值。选择疑似甲状腺结节患者82例作为研究对象，本研究比较了高频超声和彩色多普勒超声与术后病理结果的差异；绘制了ROC曲线，分析了高频超声联合彩色多普勒超声对甲状腺结节良/恶性的诊断效能。结果发现，病理学检查与高频超声联合彩色多普勒超声检查相比较，差异不具有统计学意义（P>0.05）；高频超声能够通过结节结构、回声、形态、边缘和钙化灶等特征来区分甲状腺良性与恶性结节；ROC曲线分析结果表明，高频超声联合彩色多普勒超声诊断甲状腺良/恶性结节的曲线下面积（AUC）最高（0.920）；高频超声的特异性最高（98.33%）；彩色多普勒超声的敏感性最高（86.36%）。本研究证实，高频超声联合彩色多普勒超声可有效提高对甲状腺良/恶性结节的诊断准确性。

关键词: 高频超声, 彩色多普勒超声, 甲状腺良/恶性结节, 诊断效果, 病理学检查

Abstract: In order to explore the diagnostic value of high-frequency ultrasound combined with color Doppler ultrasound in patients with benign and malignant thyroid nodules, 82 patients with suspected thyroid nodules were selected as the research objects. This study compared the results of high frequency ultrasound and color Doppler ultrasound with the pathological results. The ROC curve was drawn, and the diagnostic efficiency of high frequency ultrasound combined with color Doppler ultrasound in patients with benign and malignant thyroid nodules was analyzed. The results showed that the difference between pathology and high-frequency ultrasound combined with color Doppler ultrasound was not statistically significant (P>0.05). High frequency ultrasound distinguished benign and malignant thyroid nodules by their structure, echo, shape, margin and calcification. ROC curve analysis results showed that high-frequency ultrasound combined with color Doppler ultrasound had the highest area under the curve (AUC) in thyroid benign and malignant nodules. Nevertheless, high-frequency ultrasound had the highest specificity (98.33%), and color Doppler Ultrasound had the highest sensitivity (86.36%). In conclusion, high-frequency ultrasound combined with color Doppler ultrasound can effectively improve the diagnostic accuracy of benign and malignant thyroid nodules.

Key words: high-frequency ultrasound, color Doppler ultrasound, benign and malignant thyroid nodules, diagnostic effect, pathological examination

李媛, 许强. 高频超声联合彩色多普勒超声对甲状腺良/恶性结节的诊断价值[J]. 影像科学与光化学, 2021, 39(1): 56-60.

LI Yuan, XU Qiang. Diagnostic Value of High-frequency Ultrasound Combined with Color Doppler Ultrasound in the Diagnosis of Benign and Malignant Thyroid Nodules[J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2021, 39(1): 56-60.

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