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目的分析基层医院开展甲状腺超声影像和数据系统(TI-RADS)分级诊断在甲状腺结节良恶性中的诊断价值。方法对医院行甲状腺手术治疗的患者100例,术前TI-RADS分级在3~5级的甲状腺结节170个进行分析,与术后病理结果对比,比较此方法检查的敏感性、特异性和准确率。结果术后病理证实恶性结节34个,良性结节患者136个。与TI-RADS分级诊断检查方法比较,其敏感性为89.5%,特异性为97.0%,准确率为95.3%。结论彩超TI-RADS分级在基层医院开展可更好的指导超声工作者规范、统一、准确可靠地进行甲状腺超声检查,值得临床推广应用。
Objective To analyze the diagnostic value of thyroid ultrasound imaging and data system (TI-RADS) in benign and malignant thyroid nodules in primary hospitals. Methods 100 cases of thyroid surgery in the hospital were treated by preoperative TI-RADS grading of thyroid nodules of grade 3 to grade 5 and analyzed with 170 postoperative pathological results to compare the sensitivity, specificity and Accuracy. Results Postoperative pathology confirmed 34 malignant nodules and 136 benign nodules. Compared with the TI-RADS grading method, the sensitivity was 89.5%, the specificity was 97.0% and the accuracy was 95.3%. Conclusion TI-RADS grading in the primary hospitals can better guide the ultrasonic workers norms, unified, accurate and reliable thyroid ultrasound, it is worthy of clinical application.