肿瘤特异性生长因子测定联合高频超声对甲状腺癌的诊断价值

目的 探讨高频超声联合肿瘤特异性生长因子（TSGF）测定对甲状腺癌诊断的价值.方法 对155例甲状腺肿瘤患者,术前进行高频超声和TSGF检查,手术后进行病理学检验,分析高频超声和TSGF检查对甲状腺癌的诊断价值.结果 高频超声诊断甲状腺癌敏感度82.54％,特异度81.52％；TSGF诊断甲状腺癌敏感度79.37％,特异度78.26％；高频超声联合TSGF检测甲状腺癌敏感度92.06％,特异度93.48％.联合检查诊断符合率明显高于两种单项方法检查,差异有统计学意义（P＜0.05）.结论 高频超声联合TSGF检查可弥补两种方法间的不足,对提高甲状腺癌的诊断有重要的价值.

Diagnostic value of the detection of serum tumor specific growth factor combined with high frequency ultra-sound in thyroid cancer

Objective To explore the clinical value of high frequency ultrasound combined with serum tumor specific growth factor in diagnosis of thyroid cancer. Methods 155 patients with thyroid tumor received preoperative high frequency ultrasound and the detection of TSGF content, the histopathologic examination was given after operation. The clinical value of high frequency ultrasound and TSGF detection in diagnosis of thyroid cancer was analyzed. Results The sensitivity of high frequency ultrasound in diagnosis of thyroid carcinoma was 82.54%, the specificity was 81.52%. The sensitivity of TSGF in diagnosis of thyroid cancer was 79.37% ,the specificity was 78.26%. The sensitivity of high frequency ultrasound combined with TSGF in diagnosis of thyroid cancer was 92.06% ,the specificity was 93.48%. And the coincidence rate of combined detection was significantly higher than the two methods used alone,the difference was statistically significant （P 〈 O. 05 ）. Conclusion High frequency ultrasound combined with TSGF detection can make up the shortage of the two methods,which has important value in improving the diagnosis of thyroid carcinoma.