临床荟萃067Fertility&Health甲状腺结节超声影像与CT影像检查的效果对照分析周志茜1田欣1刘雯1雷雨露1陈斌1李梅芳1郑娟21.长沙医学院，湖南长沙410219；2.长沙医学院附属第一医院超声科，湖南长沙410219【摘要】目的：分析在甲状腺结节诊断中，超声影像与CT影像检查的应用效果。方法：选择2018年1月—2021年12月在长沙医学院附属第一医院超声科收集的110例确诊甲状腺结节的患者，收集通过超声与CT诊断的甲状腺结节的资料。结果：110例确诊甲状腺结节的患者中，良性结节50例、恶性结节60例；超声诊断甲状腺结节特异度、灵敏度与准确性分别为80.00%、68.33%与73.64%，CT诊断各数据分别为76.00%、63.33%与69.09%，超声联合CT诊断各数据分别为96.00%、93.33%与94.55%。超声影像与CT影像联合的准确性、灵敏度与特异度均高于单一检查（P<0.05）；CT甲状腺良性结节囊性成分检出率低于超声，微小钙化检出率均低于超声，甲状腺包膜不光整检出率高于超声（P<0.05）。结论：超声影像与CT影像联合实施价值高与可行性较高，可有效鉴别甲状腺结节良恶性，具有较高的准确性与灵敏度。【关键词】甲状腺结节；超声影像；CT影像；良恶性；准确性；灵敏度ComparativeanalysisoftheeffectofultrasonographyandCTimagingofthyroidnodulesZHOUZhiqian1,TIANXin1,LIUWen1,LEIYulu1,CHENBin1,LIMeifang1,ZHENGJuan21.ChangshaMedicalCollege,Changsha,Hunan410219,China;2.DepartmentofUltrasound,FirstAffiliatedHospitalofChangshaMedicalCollege,Changsha,Hunan410219,China【Abstract】Objective:ToanalyzetheapplicationeffectofultrasonographyandCTimaginginthediagnosisofthyroidnodules.Methods:Atotalof110patientsdiagnosedwiththyroidnoduleswereselectedfromthedepartmentofultrasoundofthefirstaffiliatedhospitalofchangshamedicalcollegefromJanuary2018toDecember2021,thedataofthyroidnodulesdiagnosedbyultrasoundandCTwerecollected.Results:Among110patientsdiagnosedwiththyroidnodules,50caseswerebenignand60casesweremalignant;Thespecificity,sensitivityandaccuracyofultrasoundinthediagnosisofthyroidnoduleswere80.00%,68.33%and73.64%,respectively,thoseofCTwere76.00%,63.33%and69.09%,respectively,andthoseofultrasoundcombinedwithCTwere96.00%,93.33%and94.55%,respectively.Theaccuracy,sensitivityandspecificityofcombinedultrasou...
