论文部分内容阅读
搜集1067例手术治疗的甲状腺肿瘤的临床资料,以术后病理结果作为评价甲状腺肿瘤良恶性的“金标准”用计算机对病史、体征及其它检查资料进行统计分析,发现两者在有无声嘶,肿物质地、活动度、形状,颈淋巴结有无肿大,B超,CT检查,术前肿物穿刺等方面有显著性差异。依照病史、体征、B超、细针穿刺,必要时行CT检查的步骤,本组共检出131可疑病例,经术后病理证实为恶性的123例,诊断的敏感性、特异性、阳性预测值分别为711%、991%、939%。
The clinical data of 1067 surgically treated thyroid tumors were collected. The postoperative pathological findings were used as a “gold standard” for the evaluation of benign and malignant thyroid tumors. Statistical analysis was made on the medical history, physical signs, and other examination data using a computer. It was found that there was no noise in the two patients. There were significant differences in the extent, motion, shape, and whether there was enlargement of the cervical lymph nodes, B-ultrasonography, CT examination, and preoperative puncture of tumors. According to medical history, physical signs, B-ultrasonography, fine needle aspiration, and CT scans when necessary, a total of 131 suspicious cases were detected in this group. 123 cases were confirmed to be malignant by postoperative pathology. The sensitivity, specificity, and positive predictive value of the diagnosis The values were 71.1%, 99.1%, and 93.9%, respectively.