| 摘要: |
| ［摘要］ 目的 比较超声造影与弹性成像技术对甲状腺实性小结节的鉴别诊断价值。方法 选取该院2013-06～2015-10收治的122例甲状腺占位性病变患者(158个甲状腺实性小结节)作为研究对象,所有患者均给予弹性成像与超声造影检查,并以病理检查结果作为标准,比较这两种检查方法对甲状腺实性小结节诊断的敏感度、特异度及准确度等。结果 经病理检查良性甲状腺结节91个,恶性67个；超声造影诊断的灵敏度、特异度、准确度分别为92.54%、93.41%、93.04%；超声弹性成像诊断的灵敏度、特异度、准确度分别为91.04%、91.21%、91.14%；超声造影联合弹性成像诊断的灵敏度、特异度、准确度分别为95.52%、96.70%、96.20%。结论 超声造影与弹性成像技术对甲状腺实性小结节均具有较高的鉴别诊断价值,二者联合使用可有效提高诊断的准确性。 |
| 关键词: 超声造影 弹性成像 甲状腺结节 鉴别诊断 |
| DOI：10.3969/j.issn.1674-3806.2017.09.22 |
| 分类号:R 445 |
| 基金项目: |
|
| Comparative analysis of contrast-enhanced ultrasound and elastography diagnosis of thyroid solid nodules |
|
ZHU Shuang-ping, YU Yi
|
|
Department of Ultrasound, the People′s Hospital of Liuyang City, Hunan 410300, China
|
| Abstract: |
| ［Abstract］ Objective To compare the differential diagnostic value of contrast-enhanced ultrasound and elastography for thyroid solid nodules.Methods 122 patients with thyroid space-occupying lesions(158 thyroid solid nodules) admitted to our hospital from June 2013 to October 2015 were selected as the study subjects, All the patients were treated with elastography and ultrasound imaging, and the pathological results were used as the diagnostic criteria. The sensitivity, specificity and accuracy of the two methods were compared.Results 91 thyroid nodules were pathologically benign, and the other 67 nodules were malignant; The sensitivity, specificity and accuracy of contrast-enhanced ultrasound were 92.54%, 93.41% and 93.04%, respectively. The sensitivity, specificity and accuracy of ultrasound elastography were 91.04%, 91.21% and 91.14%, respectively. The sensitivity, specificity and accuracy of elastography combined with contrast-enhanced ultrasound were 95.52%, 96.70% and 96.20%, respectively.Conclusion Both contrast-enhanced ultrasound and elastography have high differential diagnosis for thyroid solid nodules. Combined use of the two methods can effectively improve the accuracy of the diagnosis. |
| Key words: Ultrasound imaging Elastography Thyroid nodules Differential diagnosis |
