分析探讨甲状腺疾病的临床诊断与治疗

Analysis and Study on Clinical Diagnosis and Treatment of Thyroid Diseases

目的分析探讨甲状腺疾病的临床诊断与治疗。方法采集于该院2017年5—12月期间进行诊治的158例甲状腺患者作为本次研究对象,并做为该次的观察组(超声检查),同期另抽取158例甲状腺患者作为对照组(CT检查),以上研究对象和家属均知晓同意参与,并通过了伦理委员会的批准。观察及比较两组患者经超声检查、CT检查以及两者联合检查的临床结果。结果超声检查的诊断率为63.92%、CT检查的诊断率为65.82%,显著低于CT联合超声的诊断率为96.20%,差异有统计学意义(χ~2=18.236,P<0.05)。结论对于甲状腺疾病,采取超声、CT引导下的甲状腺各有适应症,临床医生掌握熟练两种检查方式之间的优势及不足,进行取长补短,才可有效降低甲状腺恶性肿瘤的误诊率以及漏诊率。

Objective To analyze and study the clinical diagnosis and treatment of thyroid diseases. Methods 158 cases of thyroid patients diagnosed and treated in our hospital from May 2017 to December 2017 were selected as the observation group, using the ultrasound examination, 158 cases of thyroid patients at the same period were selected as the control group, using the CT examination, and the ultrasound examination results, CT examination results and combined test results were observed and compared with the consent of the patients and their family and approval of the Ethical Committee. Results The diagnosis rate of ultrasound examination and CT examination was obviously lower than that of the combined test（63.92%, 65.82%, 96.20%）, and the differences were obvious, with statistical significance（χ^2=18.236, P〈0.05）. Conclusion The ultrasound and CT-guided thyroid each have the indications, and the clinical doctors should master the advantages and disadvantages proficiently, thus effectively reducing the missed diagnosis rate and misdiagnosis rate of thyroid malignant tumors.