B超显示甲状腺内钙化对乳头状甲状腺癌诊断的临床意义

Clinical Significance of B-Ultrasound Showing Calcification in Thyroid in the Diagnosis of Papillary Thyroid Cancer

目的研究B超显示甲状腺内钙化对乳头状甲状腺癌诊断的临床意义。方法选取2017年2月至2019年3月我院收治的乳头状甲状腺癌患者132例,随机分为两组各66例。研究组采用B超诊断,参照组采用穿刺细胞学检验诊断,比较两组的诊断准确率。比较B超对不同钙化面积乳头状甲状腺癌的诊断准确率。结果研究组的诊断准确率为95.45%,显著高于参照组的77.27%(P <0.05);B超对微小钙化甲状腺癌的诊断准确率为97.50%,对粗大钙化甲状腺癌则为92.31%,差异无统计学意义(P>0.05)。结论 B超对乳头状甲状腺癌具有较高的诊断准确率,B超显示甲状腺内钙化可作为诊断乳头状甲状腺癌的重要依据。

Objective To study the clinical significance of B-ultrasound showing calcification in thyroid in the diagnosis of papillary thyroid cancer.Methods 132 patients with papillary thyroid cancer admitted to our hospital from February 2017 to March 2019 were selected and randomly divided into two groups,with 66 cases in each group.The study group was diagnosed by B-ultrasound,the reference group was diagnosed by puncture cytology,and the diagnostic accuracy was compared between the two groups.The diagnostic accuracy of B-ultrasound in papillary thyroid cancer with different calcified areas was compared.Results The diagnostic accuracy of the study group was 95.45%,significantly higher than 77.27%of the reference group(P<0.05).The diagnostic accuracy of B-ultrasound for micro calcified thyroid cancer was 97.50%,and the diagnostic accuracy of B-ultrasound for coarse calcified thyroid cancer was 92.31%,and the difference was not statistically significant(P>0.05).Conclusions B-ultrasound has a high accuracy in the diagnosis of papillary thyroid carcinoma,and the calcification in the thyroid showing by B-ultrasound can be used as an important basis for the diagnosis of papillary thyroid cancer.