甲状腺超声弹性成像结合颈部淋巴结彩超探查在-临床超声医学杂志.DOC

甲状腺超声弹性成像结合颈部淋巴结彩超探查在诊断甲状腺良恶性病变中的应用 王娟 王蔚蔚* 魏春红 徐蓉 南京医科大学第二附属医院210011（王 摘要：目的 探讨甲状腺超声弹性成像结合颈部淋巴结彩超探查在诊断甲状腺良恶性病变中的应用价值。 方法 收集来我院进行甲状腺弹性成像检查并检出颈部淋巴结的95例患者资料，共119个结节病灶，所有病例经外科手术或超声引导下穿刺活检确诊超声弹性成像将弹性超声技术与颈部淋巴结探查相结合，可明显提高甲状腺结节恶性病变诊断的准确性Ultrasonic elastography combining with cervical lymph nodes probe in differential diagnosis of benign and malignant thyroid nodules WANG Juan WANG Wei-wei* WEI Chun-hong XU Rong Department of B-Ultrasound Room, the second Affiliated Hospital of Nanjing Medical University, Nanjing,Jiangsu 210011,China Abstract: Objective To investigate the value of ultrasonic elastography combining with cervical lymph nodes probe in differential diagnosis of benign and malignant thyroid nodules. Methods Ninety-five patients with thyroid nodules (total119 nodules) were examined by ultrasonic elastography, meanwhile whose cervical lymph nodes were probed. All of the nodules were diagnosed by pathology of surgery or puncture. We combine the two methods to identify benign and malignant thyroid nodules, then contrast with pathology to investigate the value of this method. Results The sensitivity, specificity of ultrasonic elastography combining with cervical lymph nodes probe to diagnose thyroid nodules with elastic three points were 80%、91.7%，to diagnose thyroid nodules with elastic four points were 94.1%、75%, to diagnose thyroid nodules with elastic five points were 94.7%、100%. Contrast with simple ultrasonic elastography, the sensitivity specificity was significantly improved in thyroid nodules than elastic three points and five points, the sensitivity was significantly improved in thyroid nodules than elastic three points(P0.01). Conclusion Ultrasonic elastography combining with cervical lymph nodes probe significantly improved the accuracy in differential diagnosis of benign and malignant thyroid nodules. This method has a high value in clinical application. Keywords: Ultrasound Elastography, Cervical lymph nodes, Thyroid 甲状腺结节发病率较高