超声联合TSH、T_(4)、T_(3)检测对甲状腺结节的诊断价值探讨

Clinical value of ultrasound combined with TSH, T_(4), T_(3) detection in the diagnosis of thyroid nodules

目的探究超声联合促甲状腺激素(TSH)、血清总甲状腺素(T_(4))、血清总三碘甲腺原氨酸(T_(3))检测对甲状腺结节的诊断价值。方法选取100例甲状腺结节患者作为研究对象,按诊断方式不同分为UI组和UD组,各50例。UI组患者选择超声检查进行诊断, UD组患者选择超声联合TSH、T_(4)、T_(3)检测进行诊断。比较两组诊断灵敏度、特异性、准确率。结果 UD组诊断特异性95.83%、准确率68.00%均高于UI组的95.83%、86.00%,差异有统计学意义(P<0.05);两组诊断灵敏度比较差异无统计学意义(P>0.05)。结论单纯超声与超声联合TSH、T_(4)、T_(3)检测诊断甲状腺结节相比较,后者检测结果较准确,诊断价值较高。

Objective To investigate the value of ultrasound combined with thyiod stimulating hormone(TSH), thyroxine(T_(4)), triiodothyronine(T_(3)) detection in the diagnosis of thyroid nodules. Methods A total of 100 patients with thyroid nodules as study subjects were divided into UI group and UD group according to different diagnostic methods, with 50 cases in each group. Patients in UI group were diagnosed by ultrasound, while patients in UD group were diagnosed by ultrasound combined with TSH, T_(4) and T_(3). The diagnostic sensitivity, specificity and accuracy of the two groups were compared between the two groups. Results The diagnostic specificity 95.83% and accuracy 68.00% of UD group were all higher than 95.83% and 86.00% of UI group, and the difference was statistically significant(P<0.05). There was no statistically significant difference in diagnostic sensitivity between the two groups(P>0.05). Conclusion Compared with ultrasound alone, the diagnosis of ultrasound combined with TSH, T_(4), and T_(3) for thyroid nodules is more accurate and the diagnostic value is higher.