B超诊断甲状腺结节性病变的应用价值研究

Study on the Application Value of B Ultrasound in Diagnosis of Thyroid Nodular Lesion

目的探究B超诊断甲状腺结节性病变的应用价值。方法回顾性分析300例行手术治疗的甲状腺结节患者的临床资料,随机分为观察组(术前行B超检查)和对照组(术前行ECT检查),每组150例。依照病理学检查结果,比较B超检查与ECT检查在甲状腺结节性病变诊断中的准确率。结果 B超和ECT诊断结节性甲状腺肿、甲状腺囊肿、甲状腺腺瘤、甲状腺炎的准确率比较差异不显著(P>0.05)。B超诊断甲状腺癌的准确率为45.00%,显著低于ECT的77.27%(P<0.05)。结论在诊断甲状腺结节时,当B超提示为结节性甲状腺肿、甲状腺囊肿、甲状腺腺瘤和甲状腺炎时,无需再行ECT检查;若提示为甲状腺癌时,进一步作ECT检查可明显提高诊断的准确率,为临床治疗提供帮助。

Objective To explore the application value of B ultrasound in diagnosis of thyroid nodules lesion. Methods The clinical data of 300 thyroid nodules patients receiving surgical treatment were retrospectively analyzed. All patients were randomly divided into observation group （implementing B ultrasound examination before operation） and control group （implementing ECT examination before operation）, with 150 cases in each group. According to the results of pathological examination, the accuracy rate of B ultrasound and ECT in diagnosis of thyroid nodules lesion was compared. Results The accuracy rate of B ultrasound and ECT in diagnosis of nodular goiter, thyroid cyst, thyroid adenoma and thyroiditis had no significant difference （P 〉0.05）. The accuracy rate of B ultrasound in diagnosis of thyroid cancer was 45.00%, lower than 77.27% of ECT （P 〈0.05）. Conclusions When B ultrasound results show nodular goiter, thyroid cyst, thyroid adenoma and thyroiditis in the diagnosis of thyroid nodule, ECT examination needs no conduction; When B ultrasound results show thyroid cancer, ECT examination can significantly increase the diagnostic accuracy rate, and provide help for clinical treatment.