本文選題：甲狀腺 + 癌　； 參考：《中國醫(yī)學(xué)影像技術(shù)》2017年09期

【摘要】：目的探討高頻超聲術(shù)前預(yù)測甲狀腺乳頭狀癌(PTC)被膜外侵犯(ETE)的臨床價(jià)值。方法收集經(jīng)手術(shù)治療的PTC患者116例,共151個(gè)結(jié)節(jié),回顧性分析其聲像圖特點(diǎn),觀察結(jié)節(jié)與甲狀腺被膜鄰接長度占結(jié)節(jié)周長百分比(A),分析以A≥1%、A≥25%及A≥50%預(yù)測PTC ETE的診斷效能。結(jié)果 151個(gè)PTC中,手術(shù)病理證實(shí)59個(gè)(59/151,39.07%)有被膜外侵犯(ETE組),92個(gè)(92/151,60.93%)無被膜外侵犯(non-ETE組)。超聲發(fā)現(xiàn)結(jié)節(jié)位于甲狀腺實(shí)質(zhì)內(nèi)(A0)84個(gè)(84/151,55.63%),1%≤A25%、25%≤A50%、A≥50%分別有25個(gè)(25/151,16.56%)、15個(gè)(15/151,9.93%)、27個(gè)(27/151,17.88%)。A≥1%、A≥25%、A≥50%的結(jié)節(jié)個(gè)數(shù)在ETE組和non-ETE組比較差異均有統(tǒng)計(jì)學(xué)意義(P均0.01)。以A=50%為截?cái)嘀?診斷PTC被膜外侵犯的敏感度、特異度、準(zhǔn)確率、陽性預(yù)測值、陰性預(yù)測值分別為37.29%(22/59)、94.57%(87/92)、72.19%(109/151)、81.48%(22/27)、70.16%(87/124)。結(jié)論高頻超聲可有效預(yù)測PTC有無ETE,為術(shù)前合理選擇手術(shù)方式及對(duì)患者預(yù)后評(píng)估提供重要參考信息。
[Abstract]:Objective to evaluate the clinical value of high frequency ultrasonography in predicting extramembranous invasion of thyroid papillary carcinoma (PTC) before operation. Methods A total of 151 nodules were collected from 116 patients with PTC who underwent surgical treatment. The ultrasonographic features of these patients were analyzed retrospectively. To observe the percentage of the adjacent length of the nodule and thyroid capsule to the circumference of the nodule, and to analyze the diagnostic efficacy of A 鈮，

本文編號(hào)：1939344