浅析超声弹性成像与常规超声诊断甲状腺良恶性结节的对比研究.docVIP

精品论文 参考文献 浅析超声弹性成像与常规超声诊断甲状腺良恶性结节的对比研究 大庆油田总医院 163000 摘要：目的 研究分析超声弹性成像与常规超声在诊断甲状腺良恶性结节方面的价值。方法 此次研究的对象是选择50例甲状腺结节患者，均为单发性结节。将其临床资料进行回顾性分析，并分别应用常规超声及超声弹性成像对甲状腺结节良恶性进行鉴别诊断。以手术病理证实结果为金标准，对诊断情况进行对比。结果 50个甲状腺结节病灶中，良性38个，恶性12个。常规超声诊断：良性29个，恶性21个；超声弹性成像诊断：良性 36个，恶性14个。超声弹性成像诊断甲状腺良恶性结节的灵敏度为91.67%，特异性为92.11%，准确性为92.00%，均高于常规超声诊断良恶性结节的灵敏度66.67%，特异性65.79%，准确性66.00%，差异具有统计学意义（Plt;0.05）。结论 应用超声弹性成像诊断技术对甲状腺良恶性结节的诊断效果优于常规超声，值得在临床实践中进一步推广。 关键词： 甲状腺结节；超声弹性成像；常规超声；诊断 [Abstract] Objective To study the value of ultrasound elasticity imaging and conventional ultrasound in the diagnosis of benign and malignant thyroid nodules. Methods the study subjects were selected 50 cases of thyroid nodules，were solitary nodule. The clinical data were retrospectively analyzed，and the differential diagnosis of benign and malignant thyroid nodules were performed with conventional ultrasound and ultrasound imaging. The results were confirmed by surgery and pathology as the gold standard，and the diagnosis was compared. Results of 50 thyroid nodules，38 were benign and 12 were malignant. Conventional ultrasound diagnosis：benign 29，malignant 21；ultrasound elasticity imaging diagnosis：benign 36，malignant 14. The sensitivity of ultrasound elastography in diagnosis of benign and malignant thyroid nodules was 91.67%，the specificity was 92.11%，accuracy was 92%，sensitivity of 66.67% was higher than that of conventional ultrasound in the diagnosis of benign and malignant nodules，the specificity was 65.79%，accuracy was 66%，the difference was statistically significant（Plt;0.05）. Conclusion ultrasound imaging technology in the diagnosis of benign and malignant thyroid nodules is superior to conventional ultrasound，it is worth to be further promoted in clinical practice. [Key words] thyroid nodule；ultrasound elasticity imaging；conventional ultrasound；diagnosis 现阶段临床针对甲状腺结节病灶的超声检查以常规超声诊断技术为主，主要技术方案为彩色多普勒超声或二维灰阶超声[1]。但也有报道中显示[2]：以上常规超声诊断方法在有关甲状腺良性、恶性结节的鉴别诊断方面存在敏感性低、特异性低的问