Role of Ultrasound in Decision-making of Surgery for Thyroid Nodules:A Retrospective Analysis of Cases of Peking Union Medical College Hospital in Past 11 Years
10.3969/j.issn.1674-9081.2015.02.010
- VernacularTitle:超声在甲状腺结节手术决策中的作用：北京协和医院11年回顾
- Author:
Bo ZHANG
1
;
Yu-Xin JIANG
;
Jian-Chu LI
;
Xiao YANG
;
Shen-Ling ZHU
;
Rui-Na ZHAO
;
Xing-Jian LAI
;
Wen-Bo LI
;
Qiong WU
;
Qing YANG
Author Information
1. 中国医学科学院 北京协和医学院 北京协和医院超声医学科
- Keywords:
thyroid nodule;
thyroid cancer;
ultrasound;
diagnosis
- From:
Medical Journal of Peking Union Medical College Hospital
2015;(2):124-127
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the role of ultrasound in the decision-making of surgery for thyroid nodules.Methods The cases receiving surgical excision of thyroid nodules in Peking Union Medical College Hospital during the period of January 2004 to December 2014 were collected.We randomly sampled 10%-15%cases from the collections in 2004, 2006, 2008, 2010, 2012 and 2014, and reviewed the outpatient and inpa-tient records of these sampled cases, extracting information about whether preoperative ultrasonography examina-tion was ordered, whether the ultrasound report provided specific diagnostic suggestion, and whether that diagno-sis was correct judging from pathological results.The rates of preoperative ultrasound, ultrasound diagnostic sug-gestion, specific diagnostic suggestion, and correct ultrasound diagnosis were calculated.Results The number of thyroid nodule surgery increased year by year from 2004 to 2014, with the proportion of malignant nodules ris-ing from 15.65% in 2004 to 69.91% in 2014.The rate of preoperative ultrasound ranged from 80.65% to 96.65%.The rate of ultrasound diagnostic suggestion demonstrated a constantly ascending trend, ranging from 46.94%to 92.36%.The rate of specific diagnostic suggestion was in the range of 78.26%-93.61%, while the rate of correct ultrasound diagnosis grew year by year, from 36.73% to 81.40%.Conclusions The num-bers of patients with thyroid nodules and thyroid cancer have been soaring in the past 11 years.With the improve-ment in its diagnostic capacity, ultrasonography is playing an increasingly important role in the decision-making of surgery for thyroid nodules.
