超声弹性成像对诊断甲状腺肿块良恶性应用分析.docVIP

超声弹性成像对诊断甲状腺肿块良恶性应用分析 　　【摘要】 目的：分析超声弹性成像对诊断甲状腺肿块良恶性的应用价值。方法：选取2014年1月-2015年6月在本院就诊的甲状腺肿块患者143例（193处病灶）作为观察对象，对所有患者进行超声弹性成像及常规二维诊断。对所有肿块进行弹性成像分级，比较分级与病理检查结果的关系。结果：病理结果共显示良性肿块116个，包括结节性甲状腺肿97个、腺瘤8个、慢性淋巴细胞甲状腺11个；恶性肿块27个，全为乳头状甲状腺癌。以超声弹性成像Ⅲ级及以上为临界值，94.83%的良性肿块在超声弹性成像评级中属于0～Ⅱ级，仅5.17%的良性肿块属于Ⅲ级和Ⅳ级；96.30%的恶性肿块在超声弹性成像评级中属于Ⅲ级和Ⅳ级，仅3.70%的恶性肿块属于0～Ⅱ级。结论：超声弹性成像可有效地检测甲状腺肿块，而肿块周边的囊实性病灶和弧形钙化应该是造成超声弹性成像评级错误的主要原因。 　　【关键词】 超声弹性成像； 甲状腺； 良恶性； 价值 　　中图分类号 R445.1 文献标识码 B 文章编号 1674-6805（2016）15-0052-02 　　【Abstract】 Objective：To explore the application value of ultrasound elasticity imaging in the diagnosis on the benign and malignant of thyroid nodules.Method：From January 2014 to June 2015，143 patients（193 masses） with thyroid nodules in our hospital were selected as the study objects，and all the patients were diagnosed by ultrasound elasticity imaging and routine two-dimentional ultrasonic diagnosis.All the nodules were grading by the ultrasound elasticity imaging，then the relation between the imaging grades and the pathological results was compared.Result：A total of 116 benign masses including 97 nodular goiters，11 chronic lymphocytic thyroids，and 8 adenomas were confirmed by the pathological results，as well as 27 malignant tumor，which were all papillary thyroid carcinoma.The grade Ⅲ of ultrasound elasticity imaging and above was the critical value，94.83% of benign masses in ultrasound elasticity imaging rating belonged to 0 to Ⅱ grade and only 5.17% benign masses belonged to Ⅲ to Ⅳ grade；96.30% of malignant tumors in ultrasound elasticity imaging rating belonged to Ⅲ to Ⅳ grade，only 3.70% malignant masses belonged to 0 to Ⅱ grade.Conclusion：Ultrasound elasticity imaging can effectively detect the situation of thyroid masses，the circumjacent cystic and solid lesions and the curved calcification should be the main reason for the error of the ultrasound imaging. 　　【Key words】 Ultrasound elasticity imaging； Thyroid； Benign and malignant； Value 　　First-author’s address：The First Affiliate