常规高频超声联合超声弹性成像在甲状腺良恶性结节鉴别诊断中应用价值分析.docVIP

常规高频超声联合超声弹性成像在甲状腺良恶性结节鉴别诊断中应用价值分析 　　[摘要]目的 探讨常规高频超声联合超声弹性成像技术在甲状腺良恶性结节鉴别中的临床诊断价值。方法 选取我院2015年9月～2016年9月收治的100例甲状腺结节患者作为研究对象，分别对其实施常规高频超声及超声弹性成像检查，判断结节的良恶性，以手术病理诊断结果作为对照，对两种方法单独或联合诊断恶性结节的敏感度、特异度、准确度分别进行进算。结果 患者经手术病理诊断，共检出甲状腺结节121个，其中，良性结节94个（77.69%）、恶性结节27个（22.31%）；将高频超声、超声弹性成像单独或者联合诊断结果?c病理诊断结果进行对照，联合诊断恶性结节的诊断灵敏度、特异度、准确度均高于两种单独诊断方法，差异有统计学意义（P0.05）。结论 采用常规高频超声联合超声弹性成像法对甲状腺结节进行诊断，可以对结节良恶性进行准确鉴别，诊断的敏感度高、特异度好、准确度高，能够为治疗提供可靠依据，值得临床推广应用。 　　[关键词]甲状腺良恶性结节；高频超声；超声弹性成像；诊断鉴别 　　[中图分类号] R736.2 [文献标识码] A [文章编号] 1674-4721（2017）05（c）-0076-04 　　[Abstract]Objective To investigate the clinical diagnosis value of conventional high frequency ultrasound combined with ultrasonic elastography in the differential diagnosis of benign and malignant thyroid nodules.Methods Altogether 100 cases of thyroid nodules who were treated in our hospital from September 2015 to September 2016 were selected as the object of this research and examined by using conventional ultrasound and ultrasonic elastographyrespectively to determine the benignity and malignancy of nodules.The operative and pathological diagnosis results were taken as the control to calculate the accuracy，sensitivity and specificity of simple conventional ultrasound，simple ultrasonic elastography and combination of the two approaches in the diagnosis of malignant nodules respectively.Results According to the operative and pathological diagnosisresults，altogether 121 thyroid nodules were detected，including 94 cases （77.69%） of benign nodules and 27 cases （22.31%） of malignant nodules.The diagnosis results of simple high frequency ultrasound，simple ultrasonic elastography and combination of the two approaches were compared with operative and pathological diagnosis results，it was found that the sensitivity，specificity and accuracy of combination of the two approaches were higher than those of simple high frequency ultrasound and simple ultrasonic elastography in the diagnosis of malignant nodules，with statistically significant differe