摘要
目的探讨超声检测甲状腺结节钙化灶对甲状腺良恶性病变的临床诊断价值。方法回顾性分析了上海市徐汇区中心医院2年间行甲状腺手术患者268例,对比甲状腺结节术前超声与术后病理检查诊断。结果恶性病例中钙化47例,钙化发生率66.20%,微小钙化发生率49.29%;良性病例中钙化41例,钙化发生率20.81%,微小钙化发生率5.08%。甲状腺癌患者甲状腺结节内钙化及微小钙化的发生率明显高于良性甲状腺结节的发生率,差异有统计学意义(P<0.01)。微小钙化诊断甲状腺癌的灵敏度和特异度分别为49.29%和94.92%。微小钙化对于甲状腺癌的甲状腺结节诊断更有统计学意义。结论高频超声对甲状腺结节钙化灶的检测在甲状腺良恶性病变鉴别诊断中有重要临床价值。
[ Objective ] To investigate the clinical value of uhrasound detectionin diagnosis of benign and malig- nant lesions of thyroid nodule calcification. [Methods ] Clinical data of 268 patients with thyroid nodule operation a- mong the recent two years were collected. We compared the results of ultrasonic diagnosis on the tubercle of thyroid nodule and that with postoperative pathological check. [ Results ] The calcification of thyroid cancer was 47 patients, and the incidence of calcification and micro-calcification were 66.20% and 49.29%; The calcification of benign thy- roid gland diseases was 41 patients, and the incidence of calcification and micro-calcification were 20.81% and 5.08%. The incidence of calcification and micro-calcification in the tubercle of thyroid gland for patients with thy- roid cancer was significantly higher than that of patients with benign thyroid gland diseases （P 〈0.01）. Sensitivity ofMicro-calcification was 49.29%. Specificity of Micro-calcification was 94.92%. Micro-calcification had evidently statistical significance with thyroid cancer. [ Conclusions ] The detection of high frequency ultrasound in thyroid calcification has important clinical value in the differential diagnosis of thyroid benign and malignant lesions.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2014年第33期67-69,共3页
China Journal of Modern Medicine
关键词
高频超声
甲状腺结节
钙化
诊断价值
high frequency color Doppler ultrasound
thyroid nodules
thyroid calcification
clinical value of di- agnosis
