| 暴非凡,胡敏霞,许庆刚,赵汉学.超声及CT评估甲状腺癌侵及周围结构[J].中国医学影像技术,2025,41(5):729~732 |
| 超声及CT评估甲状腺癌侵及周围结构 |
| Ultrasound and CT evaluation on thyroid cancer invasion of peripheral structures |
| 投稿时间：2025-01-29 修订日期：2025-04-24 |
| DOI：10.13929/j.issn.1003-3289.2025.05.007 |
| 中文关键词: 甲状腺肿瘤 超声检查 体层摄影术,X线计算机 |
| 英文关键词:thyroid neoplasms ultrasonography tomography, X-ray computed |
| 基金项目:北京市医院管理中心重点医学专业发展计划(ZYLX202104)。 |
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| 中文摘要: |
| 目的 观察超声、CT及其联合评估甲状腺癌(TC)侵及周围结构的价值。方法 纳入102例晚期TC患者,以手术病理结果为金标准,观察超声、CT评估TC侵及周围结构的价值。结果 超声对TC侵及喉返神经及带状肌的检出率分别为47.37%(18/38)、72.73%(24/33),CT分别为15.79%(6/38)、39.39%(13/33),前者高于后者(P均＜0.05)。超声诊断TC侵及气管的敏感度(88.24%)、特异度(97.06%)及准确率(94.12%)均较高,诊断TC侵及甲状软骨、带状肌的敏感度尚可(72.73%、72.73%),特异度(96.70%、97.10%)和准确率(94.12%、89.22%)亦较高;CT诊断TC侵及甲状软骨的敏感度(90.91%)、特异度(92.31%)及准确率(92.16%)均较高,诊断TC侵及气管、食管及血管的敏感度尚可(50.00%~76.47%),特异度(82.35%~88.46%)较高。超声与CT联合评估TC侵及周围结构的敏感度和准确率均高于单一方法。结论 超声与CT联合评估TC侵及周围结构具有一定价值。 |
| 英文摘要: |
| Objective To observe the value of ultrasound, CT and the combination for evaluating thyroid cancer (TC)involved peripheral structures. Methods Totally 102 patients with advanced TC were enrolled, and the value of ultrasound and CT for evaluating TC involved peripheral structures were analyzed taken post resection pathology as gold standards. Results The ultrasonic detection rate of TC involved laryngeal recurrent nerve and strap muscle was 47.37% (18/38) and 72.73% (24/33), while the CT detection rate was 15.79% (6/38) and 39.39% (13/33), respectively, the formers were better than the latters (both P＜0.05). Ultrasound had high sensitivity (88.24%), specificity (97.06%), and accuracy (94.12%) for diagnosing TC involved trachea, also had fair sensitivity (72.73%, 72.73%), high specificity (96.70%, 97.10%) and accuracy (94.12%, 89.22%) for diagnosing TC involved thyroid cartilage and strap muscle. CT had high sensitivity (90.91%), specificity (92.31%) and accuracy (92.16%) for diagnosing TC involved thyroid cartilage, while had fair sensitivity (50.00%—76.47%) and high specificity (82.35%—88.46%) for diagnosing TC involved trachea, esophagus and blood vessels. The sensitivity and accuracy of combination of ultrasound and CT for evaluating TC involved peripheral structures were both higher than of each single method alone. Conclusion Combination of ultrasound and CT was valuable for evaluating TC involved peripheral structures. |
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