[1]游淑红,洪涛,陶荣,等.彩色多普勒超声下甲状腺结节内钙化对良恶性鉴别的诊断价值[J].医学研究与战创伤救治(原医学研究生学报),2016,18(04):395-397.[doi:10.3969/j.issn.1672-271X.2016.04.018]
　YOU Shu-hong,HONG Tao,TAO Rong,et al.Under the color doppler ultrasound in thyroid nodule calcification to differential diagnosis of benign and malignant value[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2016,18(04):395-397.[doi:10.3969/j.issn.1672-271X.2016.04.018]
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彩色多普勒超声下甲状腺结节内钙化对良恶性鉴别的诊断价值()

《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第18卷
期数:
2016年04期
页码:
395-397
栏目:
出版日期:
2016-08-20

文章信息/Info

Title:
Under the color doppler ultrasound in thyroid nodule calcification to differential diagnosis of benign and malignant value
作者:
游淑红; 洪涛; 陶荣; 周世云
332000江西九江，九江市第一人民医院(南昌大学附属九江医院)功能检查科
Author(s):
YOU Shu-hong;  HONG Tao;  TAO Rong;  ZHOU Shi-yun.
Function Examination Department, The First Peoples Hospital of Jiujiang in Jiangxi Province,Jiujiang, Jiangxi 332000, China
关键词:
彩色多普勒超声; 甲状腺结节; 钙化灶
Keywords:
color doppler ultrasound;  thyroid nodule;  calcifications
分类号:
R445.1
DOI:
10.3969/j.issn.1672-271X.2016.04.018
文献标志码:
A
摘要:
目的 探讨彩色多普勒超声检测甲状腺结节内钙化对良恶性结节的诊断价值。方法 2013年11月-2016年5月在某院手术治疗的甲状腺结节患者357例，回顾性分析患者的一般资料、术前彩色超 声资料及术后病理结果，分析钙化类型与甲状腺结节良恶性的关系，彩超检查甲状腺结节内钙化对甲状腺癌的灵敏度、特异度。结果 在52例甲状腺癌中超声检测出43例结节内钙化，占总数的82.69%明 显高于甲状腺良性疾病12.13%的钙化率（P＜0.05）；且微钙化在甲状腺癌的检出率为71.15%明显高于甲状腺良性结节2.62%微钙化率（P＜0.05），环状钙化及粗钙化检出率对于甲状腺良恶性诊断无明 显差异（P＞0.05）；微钙化、环状钙化、粗钙化对甲状腺癌的敏感度分别为80.43%、25.00%、25.00%，特异度分别为97.10%、97.10%、92.73%。结论 微钙化对于甲状腺癌的诊断具有较高的敏感度和 特异度，可将彩超检查甲状腺结节内微钙化作为筛选甲状腺癌的特异度指标。
Abstract:
Objective To study the color doppler ultrasound in thyroid nodule calcification value to the diagnosis of benign and malignant nodules. Methods 357 patients with thyroid nodules undergoing surgery treatment between November 2013 to May 2016 in our hospital were analyzed retrospectively with general information, preoperative color ultrasound and postoperative pathological results, calcified type and the relationship between benign and malignant thyroid nodule, and the sensitivity and specificity of checking thyroid nodules of calcification in thyroid carcinoma. Results In 52 cases of thyroid carcinoma, 43 cases of calcification were detected by ultrasonography, accounting 82.69% of the total and was significantly higher than thyroid benign disease calcification (12.13%) (P<0.05); Microcalcification in thyroid cancer detection rate was 71.15% and obviously higher than that of benign thyroid nodules with 2.62% microcalcification rate (P<0.05); Annular calcification and coarse calcification detection rate for benign and malignant thyroid diagnosis has no obvious difference (P>0.05); The sensitivity of the Microcalcification, annular, and coarse calcification in thyroid carcinoma were 80.43%, 25.00%, 25.00%, and specificity were 97.10%, 97.10% and 92.73% respectively. Conclusion The tiny calcification in thyroid carcinoma diagnosis has high sensitivity and specificity, and can be screening thyroid cancer specific indicators.

参考文献/References:

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备注/Memo

备注/Memo:
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更新日期/Last Update: 2016-07-20