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1、甲状腺结节超声评估指标90例临床研究【摘要】目的：通过总结分析90例甲状腺结节各项超声指标与病理结果资料对照，系统的评价各项超声指标与病理相关性，为临床筛选价值较高的指标作为甲状腺良恶性的评估依据。方法：近3年经手术病理确诊的90例甲状腺结节病理结果与十项超声指标对照资料，系统分析研究两者间的相关性，全而评价各项指标的敏感性、特异性，假阳性、假阴性，筛选出临床价值较高评估指标。结果：甲状腺结节十项超声指标中，敏感性较高，而特异性相对较低的有：结节内部冋声、内部结构、内部冋声分布；特异性较高，而敏感性相对较低的有：结节的A/D比值、结节边
2、缘情况、结节血供类型；敏感性和特异性均较高的指标有：结节边界情况、内部结构、声晕情况、钙化以及结节动脉阻力指数。五项指标评估的敏感性分别为94.12%、95.24%.70.58%、85.29%、76.47%,特异性分别为60.71%、95.56%、69.64%、87.50%、75.0%。结论超声各项指标在甲状腺良恶性姐姐声像图中存在多处交叉，国内外报道和评价不一，至今为止未见对各项超声指标进行系统研究的报道。本研究结果显示，十项中有五项超声指标敏感性和特异性均较高，与病理相关性较好。我们认为这五项指标可以推荐作为甲状腺良恶性姐姐定性评估
3、的最佳指标，能为临床甲状腺结节定性诊断提供重要依据和临床价值。【关键词】甲状腺结节；超声评估指标；与病理相关性TheClinicalResearchof90ThyroidNodulesCasesbyUltrasoundEvaluationLiJie❷1WuXinping❷1LiuChao❷2[Abstract]Object:Analyzedultrasonicindicatorsofthyroidnodulesin90casesandcomparedwithpathologicalresults,tosystematicallyeval
4、uatedthecorrelationofechocardiographyandpathological,selectedthehighervalueindicatorsasabasisassessmentofbenignandmalignantthyroidnodulesforclinica1.Method:Wecomparedthepathologicalresultsof90caseswiththyroidnodulesinrecent3yearswhichconfirmedbyoperationandpathologywitht
5、enultrasonicindicators,systematicallyanalyzedthecorrelationshipbetweenthem,comprehensivelyevaluatedthesensitivity,specificity,falsepositiveandfalsenegativeofeveryindicators,thehigherclinicalvalueindicatorswereselected.Results:Intenultrasoundindicatorsofthyroidnodules,hig
6、hsensitivityandspecificityarerelativelylow:Tuberousinternalecho,internalstructure,internalechodistribution;highspecificityandsensitivityarerelativelylow:ResultssectionoftheA/Dratio,noduleedgecases,nodularbloodsupply;Highersensitivityandspecificityofindicatorsare:nodularb
7、orders,internalstructure,soundhalocase,calcification,andnodulararteryresistanceindex・Thefiveassessmentindicators'ssensitivityare:94.12%,95.24%,70.58%,85.29%,76.47%,specificityare:60.71%,95.56%,69.64%,87.50%,75.0%.Cone1usion:U1trasonicindicatorsofbenignandmalignantthyroid
8、nodulesinthepresentexistmultiplecross-sonogram,thereportamdevaluationindomesticandinternationalcoverage
