摘要
目的分析甲状腺滤泡癌超声诊断质量,提出改进建议。方法回顾性收集分析某院2016年1月-2022年4月经手术病理诊断的56例甲状腺滤泡癌患者术前超声报告存图完整率、描述完整率、诊断符合率、指南应用率,应用美国甲状腺协会(ATA)风险分层指南、美国放射学会甲状腺影像报告与数据系统(ACR-TIRADS)对56例甲状腺滤泡癌超声声像图进行回顾性评估。结果43例(76.8%)甲状腺滤泡癌术前超声存图完整,44例(78.6%)甲状腺滤泡癌术前超声诊断报告描述完整,51例(91.1%)甲状腺滤泡癌术前超声诊断与手术病理结果相符或基本相符。除指南应用率外,不同职称超声医师的甲状腺滤泡癌超声报告存图完整率、描述完整率、诊断符合率指标比较差异均无统计学意义(P>0.05)。ATA指南和ACR-TIRADS指南对56例甲状腺滤泡癌分类结果均与手术病理结果相符,超声检查、ATA指南和ACR-TIRADS指南对甲状腺滤泡癌的诊断符合率差异有统计学意义(P<0.05)。结论甲状腺滤泡癌术前超声诊断符合率较高,应用ATA指南和ACR-TIRADS指南有助于提高甲状腺滤泡癌诊断准确性。超声医师应加强超声诊断报告书写规范化,提高甲状腺结节恶性风险分层指南应用率,增强对甲状腺滤泡癌的认识,以进一步提升甲状腺滤泡癌超声诊断质量。
Objective To analyze the quality of ultrasonic diagnosis of follicular thyroid carcinoma and make suggestions for improvement.Methods Fifty-six patients with follicular thyroid carcinoma diagnosed surgical pathology in a hospital from January 2016 to April 2022 were retrospectively collected and analyzed.Preoperative ultrasound report image retention completeness rate,description completeness rate,diagnosis conformity rate and guideline application rate were analyzed.Fifty-six cases of follicular thyroid carcinoma were retrospectively evaluated using the American Thyroid Association(ATA)risk stratification guidelines and the American College of Radiology Thyroid Imaging Reporting and Data System(ACR-TIRADS).Results Preoperative ultrasound image retention was complete in 43 cases(76.8%)of patients with follicular thyroid carcinoma,ultrasound report description was complete in 44 cases(78.6%)of patients with follicular thyroid carcinoma,and ultrasonic diagnosis result was consistent or basically consistent with surgical pathology in 51 cases(91.1%)of patients with follicular thyroid carcinoma.In addition to the guideline application rate,there was no significant difference in the image retention completeness rate,description completeness rate and diagnostic conformity rate of follicular thyroid carcinoma ultrasound reports among different professional titles of sonographers(P>0.05).The classification results of ATA guidelines and ACR-TIRADS guidelines for 56 cases of follicular thyroid carcinoma were consistent with the surgical pathological results,and there was statistical significance in the diagnosis coincidence rate of ultrasonography,ATA guidelines and ACR-TIRADS guidelines for follicular thyroid carcinoma(P<0.05).Conclusion Preoperative ultrasonic diagnosis of follicular thyroid carcinoma has a high conformity rate,and the application of ATA guidelines and ACR-TIRADS guidelines is helpful to improve the diagnostic accuracy of follicular thyroid carcinoma.Sonographers should strengthen the standardization of writing ultrasonic diagnosis reports,increase the application rate of thyroid nodule malignant risk stratification guidelines,and enhance the understanding of follicular thyroid carcinoma,so as to further improve the quality of ultrasonic diagnosis of follicular thyroid carcinoma.
作者
张晓燕
郭荣
李文波
姜玉新
朱庆莉
张青
王红燕
李建初
ZHANG Xiaoyan;GUO Rong;LI Wenbo(不详;Peking Union Medical College Hospital,Chinese Academy of Medical Sciences,Beijing,100730,China)
出处
《中国卫生质量管理》
2023年第12期16-19,共4页
Chinese Health Quality Management
基金
中央高水平医院临床科研业务费资助(编号:2022-PUMCH-A-224)。
关键词
甲状腺滤泡癌
超声诊断
诊断质量
Follicular Thyroid Carcinoma
Ultrasonic Diagnosis
Diagnostic Quality