1. Beijing Municipal Corps Hospital of PAP,Beijing 100027,China; 2. Health Team of Training Base of Liaoning Provincial Corps of PAP,Shenyang 100034,China; 3. Department of Ultrasound,Jingxi Medical Section of Chinese PLA General Hospital,Beijing 100089,China
Abstract：Objective To explore the diagnostic value of ultrasound combined with functional examination for thyroid nodules.Methods One hundred and twenty-six cases diagnosed with thyroid nodules in our hospital between January 2017 and January 2020 was selected as the subjects.Eighty-four of them with nodules were assigned to the observation group,while the remaining 42 patients with malignant nodules served as the control group.The results of ultrasound examination,thyroid function indexes and coincidence rate of diagnosis were observed and compared between the two groups.Results The incidence of irregular shapes,unclear borders,uneven echo,calcification,and lymphatic enlargement in the observation group was significantly lower than that of the control group,while the level of thyrotropin in the observation group was significantly higher than that of the control group.The diagnosis based on thyroid stimulating hormone combined with thyroid color ultrasound in the observation group was consistent.The diagnostic coincidence rate of thyroid stimulating hormone combined with color thyroid ultrasound was significantly higher.The sensitivity,specificity,and positive expected values of thyroid stimulating hormone combined with color thyroid ultrasound were 85.17%,93.08%,and 78.94% respectively,which were significantly higher than those of thyroid-stimulating hormone alone or thyroid color Doppler ultrasound alone.Conclusions Thyroid ultrasound can effectively distinguish between benign and malignant nodules.The level of thyroid-stimulating hormone can reflect the changes and development of nodules to some extent,which is of high diagnostic value.
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2020, Vol. 31 
