超声检查联合超声弹性成像鉴别甲状腺良恶性结节的价值分析

超声检查联合超声弹性成像鉴别甲状腺良恶性结节的价值分析

刘媛媛,杨璐,司芩,吕宁,王莎

解放军八一医院,解放军八一医院,解放军八一医院,解放军八一医院,解放军八一医院

收稿日期:2017-07-25 修回日期:2017-07-25 出版日期:2017-12-25
基金资助:
南京军区联勤部科研课题（项目编号：10MA045；项目名称：超声造影在乳腺肿瘤与病理分型定性诊断中的临床系列研究）

Analyze and Evaluate the Diagnostic Value of Ultrasonography and Ultrasonic Elastography in the Diagnosis of Thyroid Benign and Malignant Nodules

刘媛媛,杨璐,司芩,吕宁 and 王莎

解放军八一医院,解放军八一医院,解放军八一医院,解放军八一医院,解放军八一医院

Received:2017-07-25 Revised:2017-07-25 Online:2017-12-25

摘要/Abstract

摘要： 目的：对甲状腺良、恶性结节者应用超声检查和超声弹性成像联合诊断的鉴别价值进行分析、研究。方法：分析本院2013年5月至2017年4月确诊的甲状腺结节180例病例资料，均应用超声检查和超声弹性成像联合诊断，比较不同结节性质（良、恶性）鉴别价值。结果：良、恶性结节者于动脉阻力指数小于0.70和血供丰富检出率对比均未见显著差异（P＞0.05）；恶性结节者微钙化和边界不清晰检出率均比良性结节者高（P＜0.05）；常规超声、超声弹性成像和联合诊断的特异性、准确性及敏感性对比均未见显著差异（P＞0.05）。结论：甲状腺良、恶性结节者应用超声检查和超声弹性成像联合诊断可于钙化、边界、形态、纵横比等情况对结节良恶性进行鉴别诊断，从而明确患者病情，为临床采取针对性干预措施提供参考，促进患者预后改善。

Abstract: Objective：To analyze and evaluate the diagnostic value of ultrasonography and ultrasonic elastography in the diagnosis of thyroid benign and malignant nodules. Methods：The data of 180 patients with thyroid nodules diagnosed in our hospital from May 2013 to April 2017 were analyzed by ultrasonography and ultrasonic elastography. The diagnostic value for different nodules (benign and malignant) were compared. Results：There were no significant differences(P>0.05) between the benign and malignant nodules with the arterial resistance index less than 0.70 and abundant blood supply detection probability of 48.00%， 34.00% and 51.50%， 39.00% respectively. The detection rate of microcalcification and obscure boundary in malignant nodules（27.5% and 31.00%） were higher than that of benign nodules（3.00% and 10.0%）（P<0.05）. The specificity， accuracy and sensitivity of conventional ultrasonogrpahy， ultrasonic elastography and combined diagnosis had not significant differences (P>0.05). Conclusion：The combination of ultrasonography and ultrasonic elastography in the diagnosis of thyroid benign and malignant nodules is of great value， which is helpful for the differential diagnosis of the disease， thus clarifying the condition of the patients， providing reference for the clinical intervention and improving the prognosis of the patients.

刘媛媛,杨璐,司芩,吕宁,王莎. 超声检查联合超声弹性成像鉴别甲状腺良恶性结节的价值分析[J]. .

刘媛媛,杨璐,司芩,吕宁 and 王莎. Analyze and Evaluate the Diagnostic Value of Ultrasonography and Ultrasonic Elastography in the Diagnosis of Thyroid Benign and Malignant Nodules[J]. .

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