二维超声联合彩色多普勒超声在诊断甲状腺恶性结节的价值分析

Analysis of the Value of Two-dimensional Ultrasound Combined with Color Doppler Ultrasound in the Diagnosis of Malignant Thyroid Nodules

目的分析二维超声联合彩色多普勒超声在诊断甲状腺恶性结节的临床价值。方法2018年1月—2021年3月在该院选出甲状腺恶性结节患者88例作为研究对象,所有患者经病理学诊断确诊。全部患者均入院编码,系统随机抽选出44例患者作研究对照组,实施二维超声诊断,其余44例患者作研究观察组,实施二维超声联合彩色多普勒超声诊断,观察两组患者诊断结果,分析临床应用价值。结果观察组患者诊断准确率是95.45%,与对照组79.55%相比,明显更高,差异有统计学意义(χ^(2)=5.091,P<0.05);观察组诊断阻力指数与动脉收缩期峰值速度分别是(0.76±0.13)、(25.41±5.12)cm·s^(-1),与对照组数据(0.55±0.11)、(42.14±4.29)cm·s^(-1)相比,明显更优,差异有统计学意义(t=8.180、16.614,P<0.05)。结论针对甲状腺恶性结节患者,临床实施二维超声与彩色多普勒超声联合诊断的应用价值较高,是临床理想的诊断方式。

Objective To analyze the clinical value of two-dimensional ultrasound combined with color Doppler ultrasound in the diagnosis of malignant thyroid nodules.Methods From January 2018 to March 2021,88 patients with malignant thyroid nodules were selected as the research objects,and all patients were confirmed by pathological diagnosis.All patients were admitted with the hospital code.The system randomly selected 44 patients as the research control group and performed two-dimensional ultrasound diagnosis.The remaining 44 patients were used as the research observation group,two-dimensional ultrasound combined with color Doppler ultrasound diagnosis were performed,and the two groups of patients were observed Diagnosis results,analysis of clinical application value.Results The diagnostic accuracy rate of the observation group was 95.45%,which was significantly higher than that of the control group 79.55%,and the difference was statistically significant(χ^(2)=5.091,P<0.05);the observation group was diagnosed with resistance index and arterial systole peak velocities were(0.76±0.13)and(25.41±5.12)cm·s^(-1),which were significantly better than the control data(0.55±0.11)and(42.14±4.29)cm·s^(-1),and the difference was statistically significant(t=8.180,16.614,P<0.05).Conclusion For patients with malignant thyroid nodules,the clinical application of two-dimensional ultrasound combined with color Doppler ultrasound has a high application value.It is an ideal clinical diagnosis method.