非均匀低增强超声造影模式对甲状腺癌的诊断价值.docVIP

非均匀低增强超声造影模式对甲状腺癌的诊断价值 　　[摘要] 目的 探讨甲状腺超声造影非均匀低增强模式对甲状腺癌的诊断价值。 方法 应用微泡造影剂（SonoVue）对本院2011年8月～2014年10月收治的147例甲状腺结节患者行超声造影检查，按照病理结果分为良性、恶性组，分析非均匀低增强模式在两组中的比例。 结果 147例甲状腺结节中，病理诊断结果：66例为恶性结节，81例为良性结节。恶性结节中62例超声造影表现为非均匀低增强，4例等增强；良性结节中5例超声造影表现为非均匀低增强，74例等增强，2例高增强。非均匀低增强超声造影增强模式对甲状腺癌诊断的准确度、灵敏度、特异度、阳性预测值、阴性预测值分别为93.8%、93.9%、93.8%、92.5%、95.0%。 结论 非均匀低增强超声造影增强模式对甲状腺癌的诊断价值很大。 中国论文网 /6/view-7216976.htm 　　[关键词] 非均匀低增强；超声造影；甲状腺癌 　　[中图分类号] R736.1 [文献标识码] A [文章编号] 1674-4721（2015）07（c）-0064-03 　　Diagnostic value of non uniform low enhanced ultrasound contrast model in thyroid carcinoma 　　LIU Shuang-yan WANG Li ZHANG Ya-li ZHANG Run JIANG Fei 　　Department of Ultrasound，Liaoyang Petrochemical General Hospital of China Petroleum in Liaoning Province，Liaoyang 111003，China 　　[Abstract] Objective To explore the diagnostic value of non uniform low enhanced model of thyroid ultrasound contrast in thyroid carcinoma. Methods From August 2011 to October 2014，147 patients with thyroid nodule treated in our hospital were detected by ultrasound contrast using micro bubble contrast agent （SonoVue）.Patients were divided into benign and malignant group according to pathological result.The proportion of non uniform low enhanced model in two groups. Results There were 66 malignant nodules and 81 benign nodules in 147 nodules according to pathological result.Among the malignant nodules，ultrasound contrast performance of 62 nodules was non uniform low enhancement，and 4 nodules performed equal enhancement；among the benign nodules，5 nodules performed non uniform low enhancement，74 cases performed equal enhancement，and 2 cases performed high enhancement.The diagnostic accuracy，sensitivity，specificity，positive predictive value and negative predictive value of non uniform low enhanced model for diagnosis of thyroid carcinoma was 93.8%，93.9%，93.8%，92.5% and 95.0% respectively. Conclusion Non uniform low enhanced ultrasound contrast model has a great diagnostic value in thyroid carcinoma. 　　[Key words] N