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目的探讨甲状腺超声、超声造影(CEUS)及细针穿刺(FNA)诊断甲状腺结节良恶性的价值。方法选取2014—2015年本院收治的进行甲状腺超声、CEUS及FNA,并进行手术的甲状腺结节患者76例,3种方法诊断结果与术后病理进行对比,分析每种方法诊断甲状腺结节良恶性的准确率,并计算CEUS、FNA的灵敏度和阳性预测值。结果准确率:甲状腺超声为52.63%,CEUS为86.84%,FNA为93.42%;灵敏度:CEUS为91.67%,FNA为97.22%;阳性预测值:CEUS为94.29%,FNA为95.89%。结论甲状腺超声准确率有限;CEUS优于甲状腺超声,FNA优于CEUS。对于彩超不能确诊的甲状腺结节患者,FNA检查基本可确诊。而对于无条件开展FNA检查的医院,CEUS可以作为一种替代的检查方法,也基本满足临床需要。
Objective To investigate the value of thyroid ultrasound, ultrasonography (CEUS) and fine needle aspiration (FNA) in diagnosis of benign and malignant thyroid nodules. Methods Totally 76 patients with thyroid nodules undergoing thyroid ultrasound, CEUS and FNA in our hospital from 2014 to 2015 were selected. The diagnostic results of the three methods were compared with those of postoperative pathology. The diagnosis of thyroid nodules Malignant accuracy, and calculated CEUS, FNA sensitivity and positive predictive value. The accuracy of the results was 52.63% for thyroid ultrasound, 86.84% for CEUS and 93.42% for FNA. The sensitivity was 91.67% for CEUS and 97.22% for FNA. The positive predictive value was 94.29% for CEUS and 95.89% for FNA. Conclusions The accuracy rate of thyroid ultrasound is limited. CEUS is better than thyroid ultrasound and FNA is better than CEUS. For ultrasound can not be diagnosed in patients with thyroid nodules, FNA examination can be diagnosed. CEUS can be used as an alternative method of examination for hospitals that conduct unconditional FNA examination, and basically meet the clinical needs.