甲状腺超声及甲状腺功能检测对老年甲状腺结节的诊断作用

Diagnosis of Thyroid Nodules in Elderly Patients with Thyroid Ultrasound and Thyroid Function Test

目的对老年甲状腺结节诊断中甲状腺超声、甲状腺功能检测的诊断作用进行分析。方法选取本院收治的甲状腺结节老年患者110例,经病理检查确认良性68例,恶性42例,均给予超声功能检测与甲状腺功能检查,对两组患者检查结果进行分析。结果超声检查结果提示,在淋巴肿大、钙化、不均匀回声、边界模糊与不规则形态等方面,恶性组与良性组比较均较高,差异有统计学意义(P<0.05)。另外,超声检查结果提示,恶性组Ⅰ级血流(12/42)与良性组(36/68)对比差异有统计学意义(P<0.05)。甲状腺功能检查各指标包括TGA、TSH、TT3与TT4等,良性组与恶性组比较差异均有统计学意义(P<0.05)。结论老年甲状腺结节诊断中,甲状腺超声检查和甲状腺功能检测有助于提高结节诊断率。

Objective The diagnosis of thyroid nodules in the elderly thyroid ultrasound,thyroid function tests to analyze the role of diagnosis. Methods A total of 110 elderly patients with thyroid nodules admitted to our hospital were enrolled in this study. The benign and malignant tumors were confirmed by pathological examination in 68 cases and 42 cases,respectively. All patients were given ultrasound and thyroid function tests. The results of the two groups were analyzed. Results The results of ultrasonography showed that malignant group and benign group were higher than benign group in terms of lymphadenopathy,calcification,uneven echo,blurred border and irregular shape,the difference was statistically significant(P<0.05). In addition,the results of ultrasonography showed that there was a significant difference between grade Ⅰ blood flow(12/42)and benign group(36/68)(P<0.05). Thyroid function test indicators including TGA,TSH,TT3 and TT4,benign group and malignant group differences were statistically significant(P<0.05). Conclusion The diagnosis of thyroid nodules in the elderly,thyroid ultrasound and thyroid function tests help to improve the diagnosis of nodules.