彩色多普勒超声在甲状腺结节鉴别诊断中的价值及准确性分析

李丹丹 毛杰

【摘要】目的：研究分析甲状腺结节鉴别诊断中应用彩色多普勒超声的临床价值。方法：择取108例甲状腺结节患者，全部患者均行彩色多普勒超声检查，分析具体检查结果。结果：以手术病理检查结果为金标准，良恶性甲状腺结节彩色多普勒超声诊断特异度为84.5%，敏感度为88.0%，准确率为86.1%;良恶性甲状腺结节血流信号分级、PSV、RI、EDV指标存在显著差异（P<0.05）。结论：应用彩色多普勒超声于甲状腺结节鉴别诊断中，其准确性较高，临床价值突出，值得广泛推广与应用。

【关键词】彩色多普勒超声;甲状腺结节;鉴别诊断

[中图分类号]R736.1[文献标识码]A[文章编号]2096-5249（2021）21-0005-02

Value and Accuracy of Color Doppler Ultrasound in Differential Diagnosis ofThyroid Nodules

LI Dan-dan， MAO Jie（Qingdao Chengyang District People’s Hospital， Qingdao Shandong 266109， China）

[Abstract] Objective： To study and analyze the clinical value of color Doppler ultrasound in the differential diagnosis of thyroid nodules. Methods：108 patients with thyroid nodules were selected. All patients underwent color Doppler ultrasonography， and the specific examination results were analyzed. Results： The specificity， sensitivity and accuracy of color Doppler ultrasonography in the diagnosis of benign and malignant thyroid nodules were 84.5%， 88.0%and 86.1%， respectively;There were significant differences in blood flow signal grade， PSV， RI and EDV between benign and malignant thyroid nodules（P<0.05）. Conclusion： The application of color Doppler ultrasound in the differential diagnosis of thyroid nodules has high accuracy and outstanding clinical value， which is worthy of wide popularization and application.

[Key words] color Doppler ultrasound;thyroidnodule;differential diagnosis

甲状腺结节主要包括良性结节与恶性结节，具有较高的临床发病率，绝大多数甲状腺结节为良性，患者只需定期接受病情观察;少数甲状腺结节为恶性，需接受手术治疗[1]。甲状腺结节属于一种慢性疾病，需在病情早期对其良恶性进行鉴别诊断。手术病理检查属有创检查，甲状腺结节的常规临床诊断方案便基于此，该检查方案部分患者缺乏耐受性。而当前临床上主要使用超声作为鉴别甲状腺结节良恶性的检查方法。彩色多普勒超聲是临床诊断甲状腺结节的全新方案，其主要原理是解析甲状腺结节超声声像图，根据良恶性结节的差异性特征，进行准确诊断[2]。本次研究选择108例甲状腺结节患者，观察统计彩色多普勒超声诊断的各项指标结果，探究甲状腺结节鉴别诊断的有效方案。

1 资料与方法

1.1一……