分化型甲状腺癌病理特点及诊断方法分析

Pathological Characteristics and Diagnostic Methods of Differentiated Thyroid Carcinoma

目的分析分化型甲状腺癌患者的病理特点,并探究更为有效的诊断方法。方法随机选取2018年12月至2020年12月本院接收疑似分化型甲状腺癌患者100例作为研究病例,本院对纳入患者均行生化指标检查、病理组织学检查、超声检查、CT检查、MRI检查,分析分化型甲状腺癌患者的病理特点,并以病理组织学检查为金标准,对比各项诊断方法的诊断效果以及诊断灵敏度、特异度、准确度。结果在诊断方式中,病理组织学检查诊出率70.0%、超声检查诊出率68.0%、MRI检查诊出率64.0%、CT检查诊出率60.0%均高于生化指标检查诊出率35.0%(P<0.05),但病理组织学检查与超声检查、MRI检查、CT检查诊出率比较(P>0.05)。超声、CT、MRI检查灵敏度、准确度均高于生化指标检查(P<0.05)。其中超声检查灵敏度最高。结论分化型甲状腺癌病理特点显著,各种诊断方式均有一定的应用效果,但超声检查仍是首先。

Objective To analyze the pathological characteristics of patients with differentiated thyroid cancer and explore more effective diagnostic methods.Methods One hundred patients with suspected differentiated thyroid cancer in our hospital from December 2018 to December 2020 were randomly selected as the research cases.All the patients were examined by biochemical indexes,histopathology,ultrasound,CT and MRI.The pathological characteristics of patients with differentiated thyroid cancer were analyzed,and histopathology was taken as the gold standard,the diagnostic effect,sensitivity,specificity and accuracy of each diagnostic method were compared.Results The diagnostic rate of histopathology,ultrasound,MRI and CT was 70.0%,68.0%,64.0% and 60.0% respectively,which were higher than that of biochemical index(35.0%)(P<0.05),but the diagnostic rate of histopathology was higher than that of ultrasound,MRI and CT(P>0.05).The sensitivity and accuracy of ultrasound,CT and MRI were higher than those of biochemical indexes(P<0.05).Among them,ultrasound examination has the highest sensitivity.Conclusion The pathological characteristics of differentiated thyroid carcinoma are significant,and various diagnostic methods have certain application effect,but ultrasound is still the first choice.