| 周怡,张超学.甲状腺影像报告与数据系统在超声诊断甲状腺良恶性肿瘤中的应用价值[J].安徽医药,2020,24(5):924-927. |
| 甲状腺影像报告与数据系统在超声诊断甲状腺良恶性肿瘤中的应用价值 |
| The application value of thyroid imaging report and data system in ultrasound diagnosis of benign and malignant thyroid tumors |
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| DOI：10.3969/j.issn.1009?6469.2020.05.019 |
| 中文关键词: 甲状腺结节 超声检查 诊断，鉴别 甲状腺影像报告和数据系统 Kwak分类方法 |
| 英文关键词: Thyroid nodules Ultrasonography Diagnosis,differential Thyroid imaging report and data system Kwak clas? sification method |
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| 中文摘要: |
| 目的探讨 Kwak版甲状腺影像报告和数据系统( TI?RADS)在甲状腺良恶性结节超声诊断及分类中的应用价值。方法选取 2017年 7月至 2019年 3月安徽医科大学第一附属医院经手术病理证实甲状腺结节 75例共 148枚，采用 Kwak版 TI?RADS分类方法对结节的超声特征进行描述、分类，并同手术后病理作对照。结果甲状腺结节的恶性特征为实性，低回声或极低回声，边界不规则，纵横比大于 1，微钙化，每增加一个恶性征象，恶性风险增加一级，将 4B设为良恶性截断值时诊断效能最大，敏感度 0.937，特异度为 0.953，约登指数为 0.889，此截点既不会出现漏诊也不会出现过度治疗。结论 Kwak版 TI?RADS分类方法在良恶性甲状腺结节的诊断和鉴别诊断中有较高的应用价值，方法简单，便于掌握及规范化管理。 |
| 英文摘要: |
| Objective To discusses the application value of Kwak thyroid imaging report and data system(TI?RADS)in ultrasonic diagnosis and classification of benign and malignant thyroid nodules.Methods Retrospective analysis was performed in 75 pa?tients enrolled in the First Affiliated Hospital of Anhui Medical University from July 2017 to March 2019 with 148 nodules.Ultra?sonic characteristics of nodules were described and classified by Kwak classification method，which were compared with postopera? tive pathology. Results The malignant characteristics of thyroid nodules were:solid，hypoechoic or very hypoechoic，irregularboundaries，aspect ratio greater than 1，microcalcification.With every additional sign of malignancy，the risk of malignancy increased by one level.When 4B was set as the cut?off value of benign and malignant，the diagnostic efficiency was the highest，with the sensi? tivity of 0.937，specificity of 0.953 and Jordan index of 0.889.At this cut?off point，there would be neither missed diagnosis nor over? treatment.Conclusion Kwak method is valuable in the diagnosis and differential diagnosis of benign and malignant thyroid nod?ules.The method is simple，easy to grasp and standardized management |
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