不同分型钙化在甲状腺结节超声诊断中应用效果分析

徐钰

[摘要] 目的 此次研究将甲状腺结节患者采用超声影像及临床体征综合分级诊断良恶性的应用价值进行分析。方法 研究对象方便选取该院2016年7月—2019年7月收治的100例甲状腺结节患者，所有患者均采取超声影像检查，将检查结果与最终患者手术病理学诊断结果进行比较，分析出超声影像临床体征及不同分型钙化的临床诊断准确性。结果 两种检查方法的检查结果不同，超声及临床体征分级为I级、II级、III级、IV级、V级，分别为8、12、15、44、21例，临床病理结果分别为良性结节I级、II级、III级、IV级、V级分别为8、11、12、6、1例，恶性结节I级、II级、III级、IV级、V级分别为0、1、3、38、20例。超声检查的良性结节诊断率为35.00%，恶性结节的诊断准确率为65.00%，效果明显。与病理检查相比（χ2=0.194，P=0.582>0.05）。结论 甲状腺结节患者采取超声影像，可有效分析出患者临床体征综合分级和良性恶性钙化情况，从而提高临床诊断准确率，使临床能够尽早为患者采取有效的治疗措施，减少疾病对患者健康造成的伤害。

[关键词] 不同分型钙化;超声诊断;甲状腺结节;效果分析

[Abstract] Objective This study analyzes the application value of thyroid nodule patients with benign and malignant diagnosis using ultrasound imaging and comprehensive classification of clinical signs. Methods 100 cases of thyroid nodules received in the hospital from July 2016 to July 2019 were convenient selected. All patients underwent ultrasound imaging examinations. The examination results were compared with the final patient's surgical pathological diagnosis results， and the ultrasound images clinical signs and clinical diagnosis accuracy of different types of calcification were analyzed. Results The examination results of the two examination methods were different. The ultrasound and clinical signs were classified as Grade I， Grade II， Grade III， Grade IV， and Grade V， which were 8， 12， 15， 44， 21 cases， and clinical pathological results were Benign nodules I， II， III， IV， and V were 8， 11， 12， 6 cases， and 1 respectively， and malignant nodules were， I， II， III， IV， and V respectively， 1， 3， 38， 20 cases. The benign nodule diagnostic rate of ultrasound was 35.00%， and the diagnostic accuracy of malignant nodules was 65.00%. Compared with pathological examination（χ2=0.194， P=0.582>0.05）. Conclusion The use of ultrasound images in patients with thyroid nodules can effectively analyze the comprehensive classification of patients' clinical signs and benign malignant calcification， thereby improving the accuracy of clinical diagnosis and enabling the clinic to take effective treatment measures for patients as early as possible， reducing the disease's health s damage.

[Key words] Different types of calcification; Ultrasound diagnosis; Thyroid nodules; Effect analysis

甲狀腺是人体的重要内分泌气管，甲状腺激素可以参与到多种生理机能的调节当中，根据我们国家临床医学界的研究发现：许多恶性肿瘤以及良性肿瘤均存在一定的钙化现象，恶变的可能性均有所提高。这主要是由于局部碱性磷酸酶升高所导致的，患者在罹患该疾病之后，将会对患者的生活带来严重的负面影响。甲状腺结节在临床上的发病率较高，该病的发生会导致患者出现颈部不适、甲状腺肿大及肿块，大部分甲状腺结节均为良性，不会对患者身体造成明显危害，若患者得不到及时有效的治疗，会严重影响患者的健康[1]。为此……