Comparative Analysis of the Diagnosis Value Using Ultrasound and CT in Benign and Malignant of Thyroid Nodules
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摘要: 目的:对比研究超声与CT对甲状腺结节良恶性的诊断价值,提高诊断甲状腺结节良恶性的准确率。方法:以我院于2011年1月-2014年12月收治的120例甲状腺结节患者的完整病历资料为分析对象。所有患者在两周内先后进行超声和CT检查,保留有完整的图像检查结果,且术后均经病理学证实。应用超声和CT对甲状腺结节良恶性的诊断价值进行评价。结果:超声联合CT诊断的敏感度、特异度和准确率分别为83.17%、93.06%和92.77%,明显高于超声和CT;误诊率和漏诊率分别为9.03%和15.62%,明显低于超声和CT(P<0.05)。结论:超声应该作为诊断甲状腺结节良恶性的首选方法,但超声和CT诊断各有优缺点,应该联合应用超声和CT对甲状腺结节进行定性,从而提高诊断甲状腺结节良恶性的准确率。Abstract: Objective: To compare and study the diagnosis value of ultrasound and CT in benign and malignant of thyroid nodules, and improve the diagnosis of benign and malignant thyroid nodules accuracy. Methods: A retrospective analysis of the complete medical records from January 2011 to December 2014 in our hospital 120 cases of thyroid nodules in patients was made, and all patients within two weeks had carried ultrasound and CT examination and retained a complete image inspection results, and surgery value evaluation after all confirmed by pathology ultrasound and CT in the diagnosis of benign and malignant thyroid nodules was compared. Results: The sensitivity, specificity and diagnostic accuracy of ultrasound combined with CT was 83.17%, 93.06%, 92.77% respectively, which was significantly higher than the ultrasound and CT, the rates of misdiagnosis and missed diagnosis rate was 9.03%, 15.62% respectively, which was significantly lower than the ultrasound and CT(P<0.05). Conclusion: Ultrasound should be the preferred method of diagnosis of benign and malignant thyroid nodules, but ultrasound and CT diagnostic also have advantages and disadvantages, the combination of ultrasound and CT should thyroid nodules qualitative to improve the diagnosis of benign and malignant thyroid nodules accuracy.
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Keywords:
- ultrasound /
- CT /
- thyroid nodules
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