目的分析多层螺旋CT与超声对甲状腺多发结节的诊断价值。方法回顾性选择2013年6月—2015年6月本院收治的甲状腺多发结节72例患者临床资料,均进行超声、CT检查,并与术后病理检查结果比较,评估两种检查方式诊断甲状腺多发结节的应用价值。计数资料比较采用χ2检验及Fisher确切概率法,P<0.05为差异有统计学意义。结果病理诊断为恶性结节的6例,良性66例;超声诊断为恶性结节13例,良性59例;CT诊断为恶性结节21例,良性51例。超声诊断的特异度、敏感度、误诊率、漏诊率分别为86.36%(57/66)、66.67%(4/6)、13.64%(9/66)、33.33%(2/6),优于CT的72.73%(48/66)、50.00%(3/6)、27.275(18/66)、50.00%(3/6),但差异均无统计学意义(均P>0.05)。超声诊断的准确率(81.94%,59/72)高于CT(70.83%,51/72),但差异无统计学意义(χ2=2.464,P>0.05)。结论超声较多层螺旋CT诊断甲状腺多发性结节更有应用价值,敏感度、准确率更高,误诊率和漏诊率更低,具有临床推广应用价值。 Objective To analyze the diagnostic value of multislice spiral CT and ultrasound in multiple thyroid nodules. Methods The clinical data of 72 patients with multiple thyroid nodules treated in our hospital from June 2013 to June 2015 were retrospectively studied. All of them were examined by ultrasound and CT. Compared with postoperative pathological findings, thyroid The value of multiple nodules. Counting data were compared using χ2 test and Fisher exact test, P <0.05 was considered statistically significant. Results The pathological diagnosis of malignant nodules in 6 cases, benign 66 cases; ultrasound diagnosis of malignant nodules in 13 cases, benign in 59 cases; CT diagnosis of malignant nodules in 21 cases, benign in 51 cases. The specificity, sensitivity, misdiagnosis rate and missed diagnosis rate of ultrasonic diagnosis were 86.36% (66/67), 66.67% (4/6), 13.64% (9/66) and 33.33% (2/6), respectively, better than CT, 72.73% (48/66), 50.00% (3/6), 27.275 (18/66) and 50.00% (3/6) respectively, but the differences were not statistically significant (all P> 0.05). The diagnostic accuracy of ultrasound was higher than that of CT (81.94%, 59/72), but the difference was not statistically significant (χ2 = 2.464, P> 0.05). Conclusion Ultrasound has more application value in diagnosis of multiple thyroid nodules with multi-slice spiral CT, which has higher sensitivity and accuracy, lower misdiagnosis rate and missed diagnosis rate, and has the value of clinical popularization and application.