超声检查对结节性甲状腺肿及甲状腺腺瘤患者的诊断价值

The diagnostic value of ultrasound examination in patients with nodular goiter and thyroid adenoma

目的探讨超声检查对结节性甲状腺肿及甲状腺腺瘤患者的临床诊断价值。方法选取2021年1-12月宜春市人民医院收治的96例结节性甲状腺肿或甲状腺腺瘤患者作为研究对象,均行超声检查,以手术病理检查为金标准,并根据金标准结果分为结节性甲状腺肿组(n=36)和甲状腺腺瘤组(n=60)。比较两组超声检查检出符合率、超声影像特征、结节周边和结节内部超声血流信号检出情况及血流参数。结果两组超声检出符合率比较差异无统计学意义。甲状腺腺瘤组结节的包膜、晕环及单发结节比例均高于结节性甲状腺肿组,差异有统计学意义(P<0.05),两组钙化、结节内回声、结节大小、甲状腺大小情况比较差异无统计学意义。甲状腺腺瘤组结节周边和结节内部超声血流信号级别均高于结节性甲状腺肿组,差异有统计学意义(P<0.05)。甲状腺腺瘤组结节周边RI低于结节性甲状腺肿组,V_(min)和V_(max)均快于结节性甲状腺肿组,差异有统计学意义(P<0.05),但两组结节内部RI及V_(min)、V_(max)比较差异无统计学意义。结论超声检查用于结节性甲状腺肿和甲状腺腺瘤患者的临床诊断中,不仅可获得清晰的图像,提高检出率,还能为疾病的鉴别诊断提供一定参考依据。

Objective To investigate the diagnostic value of ultrasound examination in patients with nodular goiter and thyroid adenoma.Methods 96 patients with nodular goiter or thyroid adenoma admitted to Yichun People's Hospital from January to December 2021 were selected as study subjects,and all of them underwent ultrasound examination,with surgical pathologic examination as the gold standard,and they were divid-ed into the nodular goiter group(n=36)and the thyroid adenoma group(n=60)according to the gold standard results.The detection coincidence rate of ultrasound detectionand ultrasoundimage characteristics,andperinodal and intranodal ultrasound blood flow signal detection and blood flow pa-rameters were compared between the two groups.Results There was no significant difference in the coincidence rate of ultrasound detection be-tween the two groups.The proportion of capsule,halo and single nodules in the thyroid adenoma group were lower than those in the nodular goiter group,and the differences were statistically significant(P<0.05),but there were no statistically significant differences in calcification,nodule echo,nodule size and thyroid size between the two groups.The level of peripheral and internal ultrasonic blood flow signal in the thyroid adenoma group were higher than those in the nodular goiter group,and the differences were statistically significant(P<0.05).The perinodular RI in the thyroid ade-noma group was lower than that in the nodular goiter group,and the V_(min)and V_(max)were faster than those in the nodular goiter group,and the differenc-es were statistically significant(P<0.05),but there were no statistically significant differences in the internal V_(min),V_(max)and RI between the two groups.Conclusion Ultrasound examination in the clinical diagnosis of nodular goiter and thyroid adenoma can not only obtain clear images,im-prove the detection rate,but also provide a certain reference for the differential diagnosis of the disease.