超声弹性成像和常规超声诊断甲状腺良恶性结节效果分析.docVIP

超声弹性成像和常规超声诊断甲状腺良恶性结节效果分析 　　[摘要]目的 分析超声弹性成像和常规超声诊断甲状腺良恶性结节的效果。方法 回顾性分析2013年10月～2016年10月我院经病理证实的93例（126个结节）甲状腺占位性病变患者的超声弹性成像与常规超声影像学资料，以手术组织病理结果为金标准，比较两种诊断方法诊断甲状腺良恶性结节的准确性。结果 126个甲状腺结节中，良性结节108个，占85.71%；恶性结节18个，占14.29%；超声弹性成像诊断的敏感度、特异度与准确度分别为82.41%、77.78%、81.75%，显著高于常规超声诊断结节良恶性的74.07%、66.67%、79.36%（P0.05）；超声弹性成像联合常规超声诊断的敏感度、特异度与准确度分别为93.52%、83.33%、92.06%，显著高于超声弹性成像及常规超声单一检查（P0.05）。结论 超声弹性成像在鉴别诊断甲状腺良恶性结节中明显优于常规超声，两者联合可有效提高诊断符合率。 　　[关键词]常规超声；超声弹性成像；甲状腺良恶性结节；准确度 　　[中图分类号] R736.1 [文献标识码] A [文章编号] 1674-4721（2017）04（c）-0113-03 　　[Abstract]Objective To analyze the effect of ultrasonic elastography and conventional ultrasound in the diagnosis of benign/malignant thyroid nodules.Methods From October 2013 to October 2016，imaging data of ultrasonic elastography and conventional ultrasound from 93 patients （126 nodules） with space-occupying lesion of thyroids testified by pathology in our hospital were retrospectively analyzed.Set outcome of histopathology by surgery as gold standard，the accuracy of the two methods diagnosing the benign/malignant thyroid nodules.Results Among 126 thyroid nodules，benign ones were 108 cases （85.71%），and malignant ones were 18 （14.29%）.The sensitivity，specificity and accuracy of ultrasonic elastography diagnosis were 82.41%，77.78% and 81.75% respectively，which was higher than that in the conventional ultrasound accounting for 74.07%，66.67% and 79.36% in turn （P0.05）.The sensitivity，specificity and accuracy of ultrasonic elastography combined with conventional ultrasound were 93.52%，83.33%，92.06% respectively，which was superior to either of them （P0.05）.Conclusion In the differential diagnosis of benign/malignant thyroid nodules，ultrasonic elastography is better than that by conventional ultrasound.The combination can effectively improve the diagnostic accordance rate. 　　[Key words]Conventional ultrasound；Ultrasonic elastography；Benign/malignant thyroid nodule；Accuracy 　　甲?钕俳峤谑橇俅渤＜?分泌系统疾病，主要是由于甲状腺异常增生导致甲状腺结构与硬度发生变化。有研究显示，甲状腺结节发病率呈逐年上升趋势，且女性高于