彩色多普勒超声对甲状腺结节的临床诊断价值

The Clinical Diagnostic Value of Color Doppler Ultrasound in Thyroid Nodules

目的:探讨彩色多普勒超声对甲状腺结节的临床诊断价值。方法:以196例甲状腺结节患者作为研究对象,均接受病理学检查及彩色多普勒超声检查。以病理学检查结果作为确定诊断,确定甲状腺结节的性质。结果:经病理学检查明确良性结节139例,恶性结节57例。彩色多普勒超声对甲状腺良性结节诊断的灵敏度、特异性、漏诊率、误诊率及准确性分别为86.33%、68.41%、13.67%、31.58%及81.12%,对甲状腺恶性结节分别为68.42%、86.33%、31.57%、13.67%及86.33%。经ROC分析,彩色多普勒超声对甲状腺良性结节及恶性结节均有明确的诊断价值(P<0.05)。结论:彩色多普勒超声对甲状腺结节具有明确的诊断价值。

Objective：To investigate the clinical diagnostic value of color Doppler ultrasound in thyroid nodules .Meth-ods：196 patients with thyroid nodules were taken as the study object .They were treated with pathological examination and color Doppler ultrasonography .The diagnosis was confirmed by pathological examination ,and the nature of thyroid nodules was determined .Results：139 cases of benign nodules and 57 cases of malignant nodules were confirmed by pathological examination .The sensitivity ,specificity ,missed diagnosis rate ,misdiagnosis rate and accuracy of color Doppler ultrasound in the diagnosis of benign thyroid nodules was 86 .33% ,68 .41% ,13 .67% ,31 .58% and 81 .12% ,in the diagnosis of malignant thyroid nodules was 68 .42% ,86 .33% ,31 .57% ,13 .67% and 86 .33% .The value of color Doppler ultrasound in the diagnosis of benign and malignant thyroid nodules was confirmed by ROC analysis （ P〈0.05） .Conclusion：The diagnostic value of color Doppler ultrasound for thyroid nodules is specific .