甲状腺超声波:无所谓的喧? 一个挑性的分析
Petra Petranović Ovčariček1,2, Luca Giovanella3,4
1Department of Oncology and Nuclear Medicine, University Hospital Center Sestre Milosrdnice, 10010 Zagreb, Croatia.
Cancers
|June 13, 2025
概括
甲状腺超声波 (US) 过度使用,导致不必要的手术和过度诊断. 将US限制在可触摸的结节上,并排除亚厘米偶发瘤,可以优化资源并改善患者的护理.
科学领域:
- 内分泌学 在内分泌学.
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
背景情况:
- 甲状腺超声波 (美国) 的使用量显著增加.
- 美国的不适当使用估计为10-50%,导致患者焦虑和过度诊断.
- 增加的美国使用与更多的甲状腺癌诊断相关,但与死亡率无关.
研究的目的:
- 为了审查甲状腺美国的使用模式.
- 识别导致过度使用的因素.
- 提出减轻过度使用和促进合理使用的战略.
主要方法:
- 审查当前的文献和临床指导方针.
- 驱动甲状腺美国利用的因素分析.
- 为适当的美国应用制定建议.
主要成果:
- 甲状腺US通常不适当地用于甲状腺功能障碍,没有明显的异常或亚厘米偶发性瘤.
- 过度使用导致不必要的手术,患者的焦虑,甲状腺癌的过度诊断.
- 目前的指导方针建议US用于触摸性结节,而不是例行功能障碍评估.
结论:
- 限制甲状腺US适合临床情景至关重要.
- 合理的美国使用优化医疗保健资源,而不会影响患者的结果.
- 需要有针对性的干预措施来解决美国的过度利用问题,并确保适当的癌症诊断.
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