常规超声联合超声弹性成像应变率比值法鉴别诊断甲状腺结节价值研究.docVIP

常规超声联合超声弹性成像应变率比值法鉴别诊断甲状腺结节价值研究 　　【摘要】 目的：评?r常规超声联合超声弹性成像应变率比值法在甲状腺良恶性结节诊断中的应用价值。方法：选取2015年1月-2016年10月在个旧市人民医院经手术病理证实的甲状腺结节患者59例（甲状腺结节63个），术前均行常规超声和超声弹性成像检查，测量结节SR比值；计算其诊断的敏感性，特异性，准确度，以病理学结果为金标准，绘制受试者工作特征曲线，评价常规彩色多普勒联合超声弹性成像应变率比值法对甲状腺结节的诊断价值。结果：SR比值均值良性结节为（1.92±1.26），恶性结节为（5.88±2.03），差异有统计学意义（P0.05）；常规彩色多普勒联合超声弹性成像应变率比值法对甲状腺结节的诊断准确度、敏感性和特异性分别为93.7%（59/63）、90.6%（29/32）和96.8%（30/31），绘制受试者工作特征曲线，曲线下面积为0.906。结论：常规彩色多普勒联合超声弹性成像应变率比值法在甲状腺良恶性结节的鉴别诊断中具有较高的应用价值。 　　【关键词】 超声弹性成像； 弹性应变率； 甲状腺结节 　　doi：10.14033/ki.cfmr.2017.25.025 文献标识码 B 文章编号 1674-6805（2017）25-0049-02 　　【Abstract】 Objective：To investigate the value of combining conventional ultrasound and strain ratio of ultrasonic elastography in identification of benign and malignant thyroid nodule.Method：From January 2015 to October 2016，59 cases with thyroid nodule disease（63 thyroid nodules） were examined by conventional ultrasound and strain ratio of ultrasonic elastography.The sensitivity，specificity and accuracy of combined methods on the diagnosis of benign and malignant thyroid nodule were calculated，with postoperative pathologic examination as the gld standard.The receiver operating characteristic curve（ROC） was drawn and the area of ROC was calculated.Result：63 thyroid nodules were confirmed by surgery pathology examination in 55 patients，including 32 benign nodules，31 malignant nodules.The mean values of strain ratio of ultrasonic elastography of the benign nodules was （1.92±1.26） and malignant nodules was （5.88±2.03），the difference was statistically significant（P0.05）.The sensitivity，specificity and accuracy of combined methods were respectively 90.6%（29/32），96.8%（30/31） and 93.7%（59/63）.The area of ROC was 0.906.Conclusion：The strain ratio of ultrasonic elastography combined with conventional ultrasound in the diagnosis of benign and malignant thyroid nodule has high sensitivity and accuracy. 　　【Key words】 Ultrasound elastography； Strain ratio； Thyroid nodule 　　First-author’s address：Gejiu People’s Hospital，