甲状腺微小癌的超声影像及误漏诊原因探究.pdf

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1、压堡2Q生!旦箜1鲞笙塑ini!Mi!dignosis＆Mistherapy，Vo1．27，No．12，Decemb。2014．39．误诊研究：内分泌腺疾病甲状腺微小癌的超声影像及误漏诊原因探究胡福长，谢雪梅，徐洪涛[摘要】目的探讨甲状腺微小癌(thyroidmicrocarcinoma，TMC)的超声影像特征，防范误漏诊。方法选择我院收治的TMC60例(观察组)和甲状腺良性病变6O例(对照组)作为研究对象，观察组均行高频超声和cT检查．对照组仅行高频超声检查，评价高频超声在诊断TMC中的临床价值。结果观察组CT检查诊断符合率为76．67％，误诊率、漏诊率均为11．67％；高频

2、超声诊断符合率为93．33％，误诊率为6．67％，漏诊率为0，两种方法在诊断符合率、误诊率、漏诊率方面比较差异均有统计学意义(P<0．05)。观察组与对照组应用高频超声在诊断病灶数量、形态、边界、回声和钙化等方面比较差异均有统计学意义(P<0．05)。结论高频超声诊断TMC有独到优势，其可从病灶数量、形态、边界、回声和钙化等方面加以鉴别，避免误诊误治。[关键词】甲状腺肿瘤；超声检查；体层摄影术，x线计算机；误诊[中国图书资料分类号]R736．1[文献标志码】A[文章编号]10023429(2014)12—0039~3[DOI]10．3969／j．issn．1002—3429．2

3、014．12．015ImagingCharacteristicsAnalysisandMisdiagnosisCauseofResearchofUltrasoundintheTreatmentofThyroidMi-crocarcinomaHUFu-chang，XIEXue—mei，XUHong—tao(1．DepartmentofUltrasound，ThePeople§HospitalofMeishanCity，Meis—han，Sichuan610020，China；2．DepartmentofPathology，FirstAffiliatedHospital，China

4、MedicalUniversity，Shenyang110001，China)[Abstract]ObjectiveToevaluatetheimagingcharacteristicsanalysisandcauseofmisdiagnosisofultrasoundinthetreatmentofTMC．Methods60patientswithTMC(observationgroup)and60patientswithbenignandmalignantthyroidlesions(controlgroup)wereincludedinthisstudy．Basedont

5、hesequenceofenrollmentandthepatientsweredividedintotwogroups：experientialgroup(60patients)receivingcomputedtomographyandhigh-~equencyultrasoundandcontrolgroup(60patients)receivinghigh-frequencyultrasound．Thediagnosisfunctionparameterswereobservedandcompared．ResultsTherateofdiagnosticaccordan

6、ceofCTscanninginobservationgroupwas76．67％；andmisdiagnosisandmisseddiagnosisrateswere11．67％．Theaccordancerateofthehigh—frequencyultrasoundwas93．33％；misdiagnosisrateandmisseddiagno-sisratewere6．67％and0withsignificantdifference(P<0．05)．Therewasstatisticallysignificantdifferencebetweenthele-sion

7、snumbers，morphology，boundary，echoandcalcificationinthediagnosiswithhighfrequencyultrasoundinthetwogroups(P<0．05)．ConclusionUltrasounddiagnosishasspecialeffectinthetreatmentofTMCbyevaluatingtheanalysisofimagingcharacteristicsandmisdiagnosiscause．[Ke