Effect of HFUS Combined with CEUS on the Detection Rate of Thyroid Papillary Carcinoma

Fu Hao; Zhang Yajuan; Guo Yalan

doi:10.3969/j.issn.1004-5775.2024.21.022

Abstract：Objective:To investigate the effect of high-frequency ultrasound(HFUS)combined with contrastus-enhanced ultrasound(CEUS)on the detection rate of papillary thyroid carcinoma,in order to provide reference for early clinical screening and diagnosis and treatment.Methods:A total of 98 patients with suspected thyroid cancer admitted to the hospital from August 2020 to August 2022 were selected,and HFUS and CEUS examinations were performed after admission.The results of surgery or pathological biopsy were used as the gold standard.The diagnostic results and diagnostic efficacy of HFUS and CEUS examinations were statistically compared.The detection rates of HFUS,CEUS alone and combined diagnosis for different types of thyroid cancer and lymph node metastasis were compared.Results:Compared with the single diagnosis of HFUS and CEUS,the sensitivity and accuracy of combined diagnosis were higher,and the rate of missed diagnosis was lower(χ2=7.525,6.353,7.525;P＜0.05).The positive rate of HFUS and CEUS combined diagnosis of thyroid papillary carcinoma and the positive rate of cervical lymph node cortex increase,lymphatic portal deviation and lymph node fusion were higher than that of single detection,and the difference was significant(χ2=8.444,7.486,10.015,7.750;P＜0.05).Conclusion:The combined diagnosis of HFUS and CEUS can significantly improve the positive detection rate and diagnostic sensitivity of papillary thyroid carcinoma,reduce the rate of missed diagnosis,and contribute to the selection of clinical treatment,which has high clinical application value.