甲状腺乳头状癌临床检查方法的价值分析

Analysis on diagnostic value of examining methods in detecting papillary thyroid carcinoma

目的探讨甲状腺乳头状癌常用临床检查手段的有效组合策略。方法总结我院自2002年1月—2010年7月收治的74例甲状腺乳头状癌患者的临床检查资料,对比超声、CT及细针穿刺细胞学检查3种检查中,每一单项、任意两项检查组合、三项检查组合对本病的阳性诊断率。结果超声、CT及细针穿刺细胞学检查对本病的诊断阳性率分别为55.4%、70.3%、73.0%,后两者比较差异无统计学意义(P>0.05);任意两项检查组合中,各组合之间比较,差异无统计学意义(P>0.05),且超声+CT组合对本病的诊断阳性结果与单项细针穿刺细胞学或CT检查结果无统计学差异(P>0.05);三项检查组合的诊断阳性率达98.6%。其余各组对比结果均有统计学差异(P<0.05)。结论单项CT或细针穿刺细胞学检查对本病的诊断阳性率高,同时行三项检查,对本病的诊断效能最高。

Objective To investigate the effective combined strategy of common examining methods to detect papillary thyroid carcinoma.Methods The clinical examining data of 74 cases suffering papillary thyroid carcinoma enrolled from January 2002 to July 2010 were summarized.The diagnostic effects of three examining methods（ultrasound,CT and fine needle aspiration biopsy）were triple-contrasted.Results The positive-diagnostic results of ultrasound,CT and fine needle aspiration biopsy were 55.4%,70.3% and 73.0% respectively,with the last two results appearing no statistical difference（P〉0.05）;combination of any two examinations presents no significant differences between each group（P〉0.05）.Moreover,the result of ultrasound and CT appeared no statistical differences between the one of single method（fine needle aspiration biopsy or CT）,（P〉0.05）;the positive-diagnostic result of the combination of all three examinations is 98.6%.The comparison of the other groups were statistically significant（P〈0.05）.Conclusion In the region of single method in diagnosing this carcinoma,CT as well as fine needle aspiration biopsy presents a comparatively higher positive rate.The use of the all three methods simultaneously presents the highest diagnostic efficacy.