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中华普通外科学文献(电子版) ›› 2014, Vol. 08 ›› Issue (01) : 12 -15. doi: 10.3877/cma.j.issn.1674-0793.2014.01.004

所属专题: 文献

论著

甲状腺结节术前检查对良恶性诊断的预测价值
赖远辉1, 姚陈1,(), 武日东1   
  1. 1. 510080 广州,中山大学附属第一医院血管甲状腺外科
  • 收稿日期:2013-01-22 出版日期:2014-02-01
  • 通信作者: 姚陈

Predictive value of preoperative examination of malignancy of thyroid nodules

Yuanhui Lai1, Chen Yao1,(), Ridong Wu1   

  1. 1. Department of Vascular and Thyroid Surgery, the First Affiliated Hospital of Sun Yat-sun University, Guangzhou 510080, China
  • Received:2013-01-22 Published:2014-02-01
  • Corresponding author: Chen Yao
  • About author:
    Corresponding author: Yao Chen, Email:
引用本文:

赖远辉, 姚陈, 武日东. 甲状腺结节术前检查对良恶性诊断的预测价值[J/OL]. 中华普通外科学文献(电子版), 2014, 08(01): 12-15.

Yuanhui Lai, Chen Yao, Ridong Wu. Predictive value of preoperative examination of malignancy of thyroid nodules[J/OL]. Chinese Archives of General Surgery(Electronic Edition), 2014, 08(01): 12-15.

目的

探寻可以预测甲状腺结节良恶性的术前检查指标,更加准确地预测甲状腺结节的病理类型,从而减少良性甲状腺结节的手术率。

方法

回顾性分析2011年1月至12月间接受甲状腺结节手术的病例资料,单因素和Logistic多因素分析术前临床指标和术后病理结果,确定可以预测甲状腺结节良恶性的危险因素。

结果

恶性结节在所有手术结节中的比例为22%。单因素分析和多因素分析显示,超声检查结果如单发结节、形态不规则或纵径大于横径的结节、混合回声或低回声、细小钙化、边界不清和血供丰富与恶性甲状腺结节相关。

结论

甲状腺恶性结节在手术结节中所占的比例较小;B超对甲状腺结节的诊断指标对结节良恶性的判断有意义;合理利用这些指标可以很好地判断甲状腺结节的病理类型,从而减少良性甲状腺结节的手术。

Objective

To identify the risk factors that can predict the pathological diagnosis of thyroid nodules before operation, and to reduce the operation of benign nodules in all surgical nodules.

Methods

All consecutive patients with thyroid nodules who underwent surgery and had pathological diagnosis in 2011 were identified. Univariate and logistic multivariate analysis were carried out to exam the risk of malignant thyroid nodules.

Results

The proportion of pathologically malignant nodules in all nodules was 22%. Univariate and logistic multivariate analysis revealed that singles, shape, calcification, echo texture, margin and vascularity were associated with malignancy.

Conclusions

The proportion of pathologically malignant nodules in surgical nodules is relatively low, some ultrasound characteristics of thyroid nodules, called risk factors, were significant in predicting pathological diagnosis. Rational use of these risk factors can predict pathological diagnosis more accurately and reduce the proportion of benign nodules in all surgical nodules.

表1 甲状腺癌危险因子的单因素分析
表2 甲状腺癌危险因子的多因素分析
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