天津医药

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TI-RADS分级对不同年龄甲状腺结节的诊断研究

张坦1,2,张晟1,2,忻晓洁1,2,王晓庆1,2,杨凡1,2   

  1. 1. 天津医科大学肿瘤医院超声诊疗科、国家肿瘤临床医学研究中心、天津市肿瘤防治重点实验室
    2. 天津医科大学肿瘤医院超声诊疗科、国家肿瘤临床医学研究中心、天津市肿瘤防治重点实验室
  • 收稿日期:2014-05-12 修回日期:2014-07-07 出版日期:2014-11-15 发布日期:2014-11-15
  • 通讯作者: 张坦

Diagnostic Value of TI-RADS Stratification in Different Ages of Thyroid Nodule Patients

zhang tan ,ZHANG Sheng ,XIN Xiao jie,WANG Xiao qing,YANG Fan   

  1. Department of Ultrasound, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center ofCancer, Key Laborary of Cancer Prevention and Therapy
  • Received:2014-05-12 Revised:2014-07-07 Published:2014-11-15 Online:2014-11-15
  • Contact: zhang tan

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摘要：

【摘要】 目的 探讨甲状腺超声影像和数据报告系统(TI-RADS)分级在诊断不同年龄甲状腺结节中的应用价值。 方法 选择 527 例甲状腺结节患者， 按年龄段分为 4 组（26～ 35 岁组、36～ 45 岁组、46～ 55 岁组、56～ 65 岁组）， 采用 TI-RADS 对 4 个年龄组的甲状腺结节患者进行分级， 并与病理结果对比分析。 结果 TI-RADS 分级对低年龄组（26～ 35 岁组和 36～ 45 岁组）结节患者的诊断阳性预测值、阴性预测值和正确率均高于 90%； 对 46～ 55 岁组的阳性预测值为 81.5%, 阴性预测值为 87.5%, 正确率为 81.9%； 对 56～ 65 岁组的阳性预测值为 76.6%， 阴性预测值为 88.8%， 正确率为 77.9%。 TI-RADS 系统对 56～ 65 岁甲状腺结节患者的诊断率低于其他年龄分组。 结论 TIRADS 分级方法受年龄因素的影响， 对高年龄组的诊断率低于低年龄组

关键词: 甲状腺结节, 超声检查, 甲状腺影像和数据报告系统, 年龄组

Abstract:

[Abstract]   Objective   To explore the applied value of thyroid imaging reporting and data system (TI-RADS) stratification in diagnosing thyroid nodules in patients with different ages． Methods   A total of 527 patients with thyroid nodules (aged 26-65) were divided into four groups: aged 26-35 group, aged 36-45 group, aged 46-55 group and aged 56-65 group. TI-RADS was used to evaluate patients in four groups. The results of TI-RADS were compared with the pathologic diagnostic analysis.   Results   For the low aged groups (aged 26-35 group and aged 36-45 group), the positive predictive value, the negative predictive value and accuracy rate were more than 90%. With regard to the patients aged 46-55, the positive and negative predictive values and accuracy rate were 81.5%, 87.5%, and 81.9%, respectively. The positive and negative predictive values, accuracy rate were 76.6%， 88.8% and 77.9% for patients aged 56-65 group． The diagnostic rate of TIRADS in patients with thyroid lesions was lower in aged 56-65 group than that of other groups.   Conclusion   TI-RADS method is affected by age. The diagnostic rate is lower in the high age group than that of the low age group.

Key words: Thyroid nodules, Ultrasonography, TI-RADS, age groups