山东大学耳鼻喉眼学报 ›› 2020, Vol. 34 ›› Issue (3): 81-87.doi: 10.6040/j.issn.1673-3770.1.2020.023

• 临床研究 • 上一篇    下一篇

甲状腺TI-RADS 4类结节分值及强回声灶类型与细针穿刺病理的研究

马亚飞1,张岩2,商蒙蒙1,郭鲁1,孙霄1,柳腾1,李杰1   

  1. 1. 山东大学齐鲁医院 超声科, 山东 济南 250012;
    2. 山东省水利厅机关服务中心 卫生保健科, 山东 济南 250013
  • 发布日期:2020-06-29
  • 通讯作者: 李杰. E-mail:jieli301@163.com
  • 基金资助:
    济南市科技发展计划(201704084)

Correlation between different scores, echogenic foci and fine-needle aspiration pathology in TI-RADS 4 thyroid nodules

MA Yafei1, ZHANG Yan2, SHANG Mengmeng1, GUO Lu1, SUN Xiao1, LIU Teng1, LI Jie1   

  1. 1. Department of Ultrasound, Qilu Hospital of Shandong University, Jinan 250012, Shandong, China;
    2. Department of Health Care, Service Center of Water Resources Department of Shandong Province, Jinan 250013, Shandong, China
  • Published:2020-06-29

PDF (PC)

405

摘要： 目的 分析美国放射协会甲状腺影像报告及数据系统(ACR TI-RADS)4类结节分值、强回声灶类型与细针穿刺病理的关系,探讨其临床应用价值。 方法 收集TI-RADS 4类且行甲状腺细针穿刺的病例203例,将其超声评分、强回声灶类型与细针穿刺病理结果进行统计学分析。 结果 203例TI-RADS 4类结节中,不同分值结节的细针穿刺病理结果差异有统计学意义(2=46.226, P<0.001),结节分值与穿刺Bethesda分级呈正相关(r=0.470,P<0.001);4种不同类型强回声灶结节的细胞学结果差异有统计学意义(2=28.650, P<0.001),两两分析时,粗大钙化与点状强回声差异有统计学意义(2=15.742, P<0.001),与大彗星尾征差异无统计学意义(2=2.102, P=0.350);环状钙化与点状强回声及无或大彗星尾征间差异均无统计学意义(2=2.723, P=0.256;2=4.171, P=0.124)。 结论 对于TI-RADS 4类结节,进一步注意其分值及强回声灶特征,有助于结节良恶性的预测及临床决策的选择。

关键词: 甲状腺结节, TI-RADS, 细针穿刺活检, 病理结果, 强回声灶

中图分类号: 

  • R445.1
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