罗雯,傅颖.ECT联合B超、CT检查对甲状腺癌诊断的临床价值.[J].中南医学科学杂志.,2020,(5):509-512.
ECT联合B超、CT检查对甲状腺癌诊断的临床价值
The clinical value of ECT combined with B ultrasound and CT in the diagnosis of thyroid cancer
投稿时间:2020-04-10  修订日期:2020-06-21
DOI:10.15972/j.cnki.43-1509/r.2020.05.016
中文关键词:  甲状腺癌  发射型计算机断层扫描  B超  电子计算机断层扫描
英文关键词:thyroid cancer  ECT  B ultrasound  CT
基金项目:
作者单位
罗雯 湖南省肿瘤医院甲状腺内科 核素治疗科,湖南 长沙 410000 
傅颖 湖南省肿瘤医院甲状腺内科 核素治疗科,湖南 长沙 410000 
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中文摘要:
      选取121例甲状腺良恶性结节患者作为观察对象,均行发射型计算机断层扫描(ECT)、B超及电子计算机断层扫描(CT)检查,甲状腺手术后标本送病理检查,以病理学检查结果为金标准,分析ECT、B超及CT单独与联合的诊断价值。121例患者108例确诊为甲状腺癌,ECT联合B超、CT诊断甲状腺癌灵敏度、准确率均相对较高,与单独诊断有明显差异(P<0.05);特异性比较单独和联合诊断相当(P>0.05);各项诊断方法特异性、灵敏度和准确率相似(P>0.05)。因此,在甲状腺癌诊断中ECT联合B超、CT能够有效提高灵敏性和准确率,可将其纳入诊疗方案中,协助临床诊断。
英文摘要:
      cases of thyroid benign and malignant nodules were selected as observation objects, all of them were examined by emission computed tomography(ECT), B ultrasound and computed tomography(CT), specimens were sent to pathological examination after thyroid surgery, and the results of pathological examination were taken as gold standard, to analyze the diagnostic value of ECT, B ultrasound and CT alone or in combination. There were 108 cases diagnosed as thyroid cancer in 121 patients. The sensitivity and accuracy of ECT combined with B ultrasound and CT in diagnosis of thyroid cancer were significantly higher than those of single diagnosis(P<0.05), and there was no significant difference between the combined diagnosis specificity and the single diagnosis(P>0.05), and there was no significant difference in specificity, sensitivity and accuracy between b ultrasound, CT and ECT(P>0.05). Therefore, ECT combined with B ultrasound and CT can effectively improve the sensitivity and accuracy of thyroid cancer diagnosis, which can be incorporated into the diagnosis and treatment program to assist clinical diagnosis.
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