[1]张晓燕郭荣李文波姜玉新朱庆莉张青王红燕李建初.甲状腺滤泡癌超声诊断质量分析[J].中国卫生质量管理,2023,30(12):16-19.[doi:10.13912/j.cnki.chqm.2023.30.12.04 ]
　ZHANG Xiaoyan,GUO Rong,LI Wenbo.Quality Analysis of Ultrasonic Diagnosis of Follicular Thyroid Carcinoma[J].Chinese Health Quality Management,2023,30(12):16-19.[doi:10.13912/j.cnki.chqm.2023.30.12.04 ]

点击复制

甲状腺滤泡癌超声诊断质量分析

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 第30卷期数: 2023年12期页码: 16-19 栏目: 特别关注出版日期: 2023-12-15

Title:: Quality Analysis of Ultrasonic Diagnosis of Follicular Thyroid Carcinoma

作者:: 张晓燕郭荣李文波姜玉新朱庆莉张青王红燕李建初; 中国医学科学院北京协和医院

Author(s):: ZHANG Xiaoyan; GUO Rong; LI Wenbo; Peking Union Medical College Hospital, Chinese Academy of Medical Sciences

关键词:: 甲状腺滤泡癌; 超声诊断; 诊断质量

Keywords:: Follicular Thyroid Carcinoma; Ultrasonic Diagnosis; Diagnostic Quality

分类号:: R736.1;R445.1

DOI:: 10.13912/j.cnki.chqm.2023.30.12.04

文献标志码:: A

摘要:: 目的分析甲状腺滤泡癌超声诊断质量，提出改进建议。方法回顾性收集分析某院2016年1月-2022年4月经手术病理诊断的56例甲状腺滤泡癌患者术前超声报告存图完整率、描述完整率、诊断符合率、指南应用率, 应用美国甲状腺协会(ATA)风险分层指南、美国放射学会甲状腺影像报告与数据系统（ACR-TIRADS）对56例甲状腺滤泡癌超声声像图进行回顾性评估。结果43例（76.8%）甲状腺滤泡癌术前超声存图完整，44例（78.6%）甲状腺滤泡癌术前超声诊断报告描述完整，51例（91.1%）甲状腺滤泡癌术前超声诊断与手术病理结果相符或基本相符。除指南应用率外，不同职称超声医师的甲状腺滤泡癌超声报告存图完整率、描述完整率、诊断符合率指标比较差异均无统计学意义（P＞0.05）。ATA指南和ACR-TIRADS指南对56例甲状腺滤泡癌分类结果均与手术病理结果相符，超声检查、ATA指南和ACR-TIRADS指南对甲状腺滤泡癌的诊断符合率差异有统计学意义（P＜0.05）。结论甲状腺滤泡癌术前超声诊断符合率较高，应用ATA指南和ACR-TIRADS指南有助于提高甲状腺滤泡癌诊断准确性。超声医师应加强超声诊断报告书写规范化，提高甲状腺结节恶性风险分层指南应用率，增强对甲状腺滤泡癌的认识，以进一步提升甲状腺滤泡癌超声诊断质量。

Abstract:: ObjectiveTo analyze the quality of ultrasonic diagnosis of follicular thyroid carcinoma and make suggestions for improvement.MethodsFifty-six patients with follicular thyroid carcinoma diagnosed surgical pathology in a hospital from January 2016 to April 2022 were retrospectively collected and analyzed. Preoperative ultrasound report image retention completeness rate, description completeness rate, diagnosis conformity rate and guideline application rate were analyzed. Fifty-six cases of follicular thyroid carcinoma were retrospectively evaluated using the American Thyroid Association (ATA) risk stratification guidelines and the American College of Radiology Thyroid Imaging Reporting and Data System (ACR-TIRADS).ResultsPreoperative ultrasound image retention was complete in 43 cases (76.8%) of patients with follicular thyroid carcinoma,ultrasound report description was complete in 44 cases (78.6%) of patients with follicular thyroid carcinoma, and ultrasonic diagnosis result was consistent or basically consistent with surgical pathology in 51 cases (91.1%) of patients with follicular thyroid carcinoma. In addition to the guideline application rate, there was no significant difference in the image retention completeness rate, description completeness rate and diagnostic conformity rate of follicular thyroid carcinoma ultrasound reports among different professional titles of sonographers (P> 0.05). The classification results of ATA guidelines and ACR-TIRADS guidelines for 56 cases of follicular thyroid carcinoma were consistent with the surgical pathological results, and there was statistical significance in the diagnosis coincidence rate of ultrasonography, ATA guidelines and ACR-TIRADS guidelines for follicular thyroid carcinoma (P＜0.05).Conclusion Preoperative ultrasonic diagnosis of follicular thyroid carcinoma has a high conformity rate, and the application of ATA guidelines and ACR-TIRADS guidelines is helpful to improve the diagnostic accuracy of follicular thyroid carcinoma. Sonographers should strengthen the standardization of writing ultrasonic diagnosis reports, increase the application rate of thyroid nodule malignant risk stratification guidelines, and enhance the understanding of follicular thyroid carcinoma, so as to further improve the quality of ultrasonic diagnosis of follicular thyroid carcinoma.

参考文献/References:

［1］薛恩生.超声医学专业质量管理控制指标专家共识(2018年版)解读及应用［J］.中华医学超声杂志(电子版),2019,16(5):327-328. ［2］国家卫生健康委办公厅.关于印发超声诊断等5个专业医疗质量控制指标（2022年版）的通知:国卫办医函〔2022〕161号［EB/OL］.（2022-05-11）［2023-04-26］.http://www.nhc.gov.cn/yzygj/s7657/202205/56765f0f512f4f058efc4169a0e1c639.shtml. ［3］王鹤婷.超声诊断甲状腺滤泡癌与滤泡腺瘤的价值分析［J］.临床医学,2020,40(5):72-74. ［4］KIM H,SHIN JH,HAHN SY,et al.Prediction of follicular thyroid carcinoma associated with distant metastasis in the preoperative and postoperative model［J］. Head Neck,2019,41(8):2507-2513. ［5］高明.甲状腺结节和分化型甲状腺癌诊治指南［J］.中华核医学与分子影像杂志,2012,33（17）：1249-1272. ［6］国家超声医学质量控制中心,中华医学会超声医学分会.超声医学专业质量管理控制指标专家共识(2018年版)［J］.中华超声影像学杂志,2018,27(11):921-923. ［7］HAUGEN BR, ALEXANDER EK, BIBLE KC, et al. 2015 American Thyroid Association Management Guidelines for adult patients with thyroid nodules and differentiated thyroid cancer: the American Thyroid Association Guidelines task force on thyroid nodules and differentiated thyroid cancer［J］. Thyroid,2016,26(1):1-133.�?倓［8］TESSLER FN,MIDDLETON WD,GRANT EG,et al.ACR Thyroid Imaging,Reporting and Data System (TI-RADS): White Paper of the ACR TI-RADS Committee［J］.J Am Coll Radiol,2017,14(5):587-595. ［9］周爱文,程锦隆,王鑫.河北省产前诊断技术服务机构校验评审问题分析与对策［J］.中国卫生质量管理,2023,30(4):34-37. ［10］胡加银,李汶静,何霖,等.亚专业组组长负责制在超声科质量控制中的价值［J］.江苏卫生事业管理,2022,33(10):1334-1338. ［11］蒋波,周晓红,章小龙,等.国内外指南诊断甲状腺结节良恶性的对比分析［J］.浙江医学,2023,45(13):1411-1415,1419. ［12］KUO TC,WU MH,CHEN KY,et al.Ultrasonographic features for differentiating follicular thyroid carcinoma and follicular adenoma［J］.Asian J Surg,2020,43(1):339-346.

更新日期/Last Update: 2023-12-15