摘要
目的:探讨在健康体检中应用中国甲状腺影像报告和数据系统(C-TIRADS)联合超声弹性成像鉴别诊断甲状腺木乃伊结节与微小乳头状癌的临床价值。方法:回顾性分析2023年1月—2024年12月广州市干部和人才健康管理中心诊出的47例甲状腺微小乳头状癌(设为微小乳头状癌组)、47例甲状腺木乃伊结节(设为木乃伊结节组)患者的临床资料。所有患者均接受中国甲状腺影像报告和数据系统(C-TIRADS)及超声弹性成像检查。比较两组的超声参数差异,并分析C-TIRADS单一诊断与其联合超声弹性成像鉴别诊断甲状腺木乃伊结节与微小乳头状癌的临床效能。结果:微小乳头状癌组与木乃伊结节在结节形态、边缘、内部回声、弹性应变比率方面差异有统计学意义(P<0.05)。C-TIRADS联合弹性成像鉴别诊断甲状腺木乃伊结节与微小乳头状癌的灵敏度(100.00%)、准确率(81.91%)显著高于单一C-TIRADS诊断(P<0.05)。结论:甲状腺木乃伊结节与微小乳头状癌有明显的超声特征差异,C-TIRADS联合超声弹性成像在甲状腺木乃伊结节与微小乳头状癌鉴别诊断中具有较高的临床效能。
Objective To explore the clinical value of C-TIRADS combination with elastography in the difffferential diagnosis of thyroid mummifified nodules and papillary microcarcinoma in health examination.Methods A retrospective analysis was conducted on the clinical data of 47 patients with papillary microcarcinoma of the thyroid(defifined as the papillary microcarcinoma group)and 47 patients with mummifified nodules of the thyroid(defifined as the mummifified nodules group)diagnosed at the Guangzhou Cadre and Talent Health Management Center from January 2023 to December 2024.All groups used the Chinese thyroid imaging reporting and data system(C-TIRADS)and were given elastography.The difffferences in ultrasound parameters between the two groups were compared,and the clinical effifficacy of single diagnosis of C-TIRADS and the combined difffferential diagnosis of C-TIRADS and ultrasound elastography for mummifified thyroid nodules and papillary microcarcinoma was analyzed.Results There were statistically signifificant difffferences in nodule morphology,edge,internal echo,and elastic strain ratio between the papillary microcarcinoma group and the mummified nodule group(P<0.05).The sensitivity(100.00%)and accuracy(81.91%)of C-TIRADS combined with elastography in the difffferential diagnosis of thyroid mummifified nodules and papillary microcarcinoma were signifificantly higher than those of C-TIRADS examination(P<0.05).Conclusions There are signifificant difffferences in ultrasound characteristics between thyroid mummifified nodules and papillary microcarcinoma.The combination of C-TIRADS and ultrasound elastography has higher clinical effifficacy in the difffferential diagnosis of thyroid mummifified nodules and papillary microcarcinoma.
作者
黄荣
钟永凤
HUANG Rong;ZHONG Yongfeng(Department of Ultrasound,Guangzhou Cadre and Talent Health Management Center,Guangzhou,Guangdong 510530,China)
出处
《影像研究与医学应用》
2025年第19期32-35,共4页
Journal of Imaging Research and Medical Applications
