本文選題：甲狀腺腫瘤 + 鈣��； 參考：《中國(guó)超聲醫(yī)學(xué)雜志》2015年11期

【摘要】：目的研究超聲在甲狀腺良性鈣化性結(jié)節(jié)(BCNS)和惡性鈣化性結(jié)節(jié)(MCNS)鑒別診斷中的價(jià)值。方法回顧經(jīng)病理證實(shí)的392例464枚甲狀腺鈣化性結(jié)節(jié)的超聲表現(xiàn),分析微鈣化、粗鈣化、環(huán)狀鈣化、混合鈣化、微鈣化+混合鈣化在BCNS和MCNS中的分布。結(jié)果 464枚甲狀腺鈣化性結(jié)節(jié)中,382枚BCNS,82枚MCNS,微鈣化、微鈣化+混合鈣化及粗鈣化在二者之間具有統(tǒng)計(jì)學(xué)差異,微鈣化及微鈣化+混合鈣化更常見(jiàn)于MCNS中,粗鈣化更常見(jiàn)于BCNS中;環(huán)狀鈣化及混合鈣化在二者之間無(wú)統(tǒng)計(jì)學(xué)意義。結(jié)論微鈣化有利于MCNS的診斷,粗鈣化提示BCNS的診斷,盡管混合鈣化在二者之間無(wú)統(tǒng)計(jì)學(xué)意義,但將其并入微鈣化,可明顯提高M(jìn)CNS診斷的靈敏度和陰性預(yù)測(cè)值,減少M(fèi)CNS漏診的發(fā)生率。關(guān)鍵詞
[Abstract]:Objective to study the value of ultrasonography in differential diagnosis of benign calcified thyroid nodules (BCNS) and malignant calcified nodules (MCNS).Methods the ultrasonographic findings of 464 thyroid calcified nodules in 392 cases confirmed by pathology were retrospectively reviewed. The distribution of microcalcification, coarse calcification, circular calcification, mixed calcification and mixed calcification in BCNS and MCNS was analyzed.Results there were significant differences in microcalcification, mixed calcification and coarse calcification between 464 thyroid calcified nodules with 382 BCNSs and 82 MCNSs. Microcalcification and mixed calcification were more common in MCNS, and coarse calcification was more common in BCNS.There was no significant difference between circular calcification and mixed calcification.Conclusion Microcalcification is beneficial to the diagnosis of MCNS. Coarse calcification suggests that the diagnosis of BCNS, although mixed calcification is not statistically significant between the two, but its incorporation into microcalcification can significantly improve the diagnostic sensitivity and negative predictive value of MCNS.To reduce the incidence of MCNS missed diagnosis.Keywords
【作者單位】： 杭州市婦產(chǎn)科醫(yī)院超聲科影像科;杭州市第一人民醫(yī)院超聲影像科;杭州市第一人民醫(yī)院放射科;杭州市第一人民醫(yī)院腫瘤科;杭州市第一人民醫(yī)院病理科;
【基金】：2014年杭州市衛(wèi)生計(jì)劃項(xiàng)目(No.2014A02) 杭州市重大科技創(chuàng)新專項(xiàng)項(xiàng)目(No.20131813A08)
【分類號(hào)】：R445.1;R736.1

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