超声检查联合超声弹性成像鉴别甲状腺良恶性结节的价值分析.docVIP

超声检查联合超声弹性成像鉴别甲状腺良恶性结节的价值分析 刘媛媛司苓吕宁王莎 刘媛媛 司苓 吕宁王莎 解放军八一医院江苏省南京市秦淮区杨公井34标34号 邮编210002 【摘要】目的对甲状腺良、恶性结节者应用超声检查和超声弹性成像联合诊断的鉴别 价值进行分析、研究。方法 分析本院2013年5月-2017年4月确诊的甲状腺结节180例 患者资料，均应用超声检查和超声弹性成像联合诊断，比较不同结节性质(良、恶性) 鉴别价值。结果 良、恶性结节者于动脉阻力指数小于0. 70和血供丰富检出概率48. 00%、 34. 00%和51.50%、39. 00%对比均未见显著差异(”0.05)；恶性结节者微钙化和边界不 清晰检出概率27. 50%和31. 00%均比良性结节者3. 00%和10. 00%高(F0. 05)；常规超声、 超声弹性成像和联合诊断的特异性、准确性及敏感性对比均未见显著差异(戶0.05)。 结论甲状腺良、恶性结节者应用超声检查和超声弹性成像联合诊断的价值较高，有利于 疾病鉴别诊断，从而明确患者病情，为临床采取针对性干预措施提供参考，促进忠者预 后改善，具较高推广价值。 【Abstract 】 Objective To analyze and evaluate the diagnostic value of ultrasonography and ultrasonography in the diagnosis of thyroid benign and malignant nodules? Methods The data of 180 patients with thyroid nodules diagnosed in our hospital from May 2013 to April 2017 were analyzed by ultrasonography and ultrasonography. The diagnostic value of different nodules (benign and malignant) was compared? Results There were no significant differences (P 0.05) between the arterial resistanee index of the benign and malignant nodules with the arterial resistance index less than 0. 70 and the blood septum detection probability of 48. 00%, 34. 00% and 51. 50% and 39. 00% respectively?(P 0. 05). The specificity, accuracy and sensitivity of conventional ultrasound, ultrasonic elastography and combined diagnosis were not significantly higher than those of benign nodules (P 〈0.05) Sec significant diffcrcnccs (P 0.05). Conclusion The combination of ultrasonography and ultrasonography in the diagnosis of thyroid benign and malignant nodules is of great value, which is helpful for the differential diagnosis of the di sease, thus cl arifying the condi tion of the patients, providing reference for the clinical intervention and improving the prognosis of the patients? High promotion value 【关键词】甲状腺结节；良恶性;超声弹性成像;超声;鉴别价值 甲状腺癌属于临床一种常见肿瘤，伴随医疗技术发展和超声设备不断地更新，设备 分辨率亦不断提高，有利于提高疾病微小结节的检出概率，具一定临床应用价值因 甲状腺结节病变通常表现为异病同像和同病杲像等特点，增加临床鉴别诊断难度，难以 对所有甲状腺结节进行准确判断，加之甲状腺癌和良性结节于质地硬度存在的差异，使 常规超声临床应用受限，临床需积极寻求更可靠的鉴别诊断方法