摘要
目的探讨临床特征、实验室检查(TSH等)和B超在甲状腺结节诊断中的价值。方法对我院144例甲状腺结节患者进行分析,其中良性结节93例,恶性结节51例。对两组在临床特征,实验室检查和B超结果方面进行比较分析。结果在良性组和恶性组比较中,年龄、性别、血清TSH和FT4水平、甲状腺自身免疫性疾病、甲状腺功能异常、单一结节差异无统计学意义(P>0.05)。超声显示结节出现可疑征象:微小钙化、边界不规则和低回声结节直径≥2cm是恶性结节的独立危险因素,差异有统计学意义(P<0.05)。结论微小钙化、边界不规则和低回声结节直径≥2cm是恶性甲状腺结节的独立危险因素,需进一步检查。
Objective To study the value of clinical features,laboratory examination and ultrasound in the diagnosis of thyroid nodule.Methods 144 patients with thyroid nodule were studied,including 93 benign nodules （the benign group） and 51 malignant nodules （the malignant group）.The clinical features,laboratory examination and ultrasound features were compared between the two groups.Results There were no statistically significant differences in age,gender,serum TSH and FT4 levels,thyroid dysfunction and autoimmune disease between the two groups （P0.05）.Ultrasound showed differences when suspected characteristics were found in the nodules of the malignant group,such as microcalcifications,central flow,border irregularity and hypoechogenicity.After the multivariate analysis,the model obtained showed border irregularity,microcalcifications and nodule size over 2 cm as predictive factors of malignancy （P0.05）.Conclusion Border irregularity,microcalcifications and nodule size over 2 cm are the independent risk factors for malignant thyroid nodule.
出处
《海南医学》
CAS
2012年第9期80-82,共3页
Hainan Medical Journal
关键词
临床特征
实验室检查
B超
甲状腺结节
诊断
Clinical features
Laboratory examination
Ultrasound
Thyroid nodule
Diagnosis
