摘要
目的:对甲状腺良恶性结节诊断中超声造影联合弹性成像的应用价值进行分析。方法:选取自2015年7月-2016年12月在本院接受治疗的150例甲状腺良结节患者,全部患者均接受常规超声造影诊断、弹性成像诊断以及超声造影联合弹性成像诊断,诊断后,对比病理诊断结果,对三种方法的良、恶性结节诊断相符率进行分析。结果:患者接受常规超声造影诊断后,良性结节诊断相符率为81.8%,恶性结节诊断相符率为78.6%;患者接受超声弹性成像诊断后,良性结节诊断相符率为86.4%,恶性结节诊断相符率为82.1%;患者接受超声造影联合弹性成像后,良性结节诊断相符率是98.5%,恶性结节诊断相符率为97.6%;超声造影联合弹性成像的诊断相符率明显高于单独的常规超声和弹性成像诊断,差异均有统计学意义(P<0.05)。结论:超声弹性诊断对于甲状腺良、恶性结节的临床诊断有着一定的价值,但是要想使临床诊断准确率得到进一步提升,在甲状腺良恶性结节的临床诊断中必须采用超声造影联合弹性成像诊断。
Objective： To analyze the value of contrast-enhanced ultrasound and elastography in the diagnosis of benign and maligilant thyroid nodules.Method： A total of 150 cases of benign thyroid nodules from July 2015 to December 2016 in our hospital were selected, all patients were given conventional contrast-enhanced ultrasound diagnosis, elastography diagnosis and contrast-enhanced ultrasound combined with elastography diagnosis.After diagnosis, compared with pathology diagnosis results, diagnosis corresponding rate of benign and malignant nodules of three groups were analysed.Result ： The patients received routine uhrasonography diagnosis, diagnosis coincidence rate of benign nodules was 81.8%, diagnosis coincidence rate of malignant nodules was 78.6%; the patients received ultrasonic elastography diagnosis, diagnosis coincidence rate of benign nodules was 86.4%, diagnosis consistent rate of malignant nodules was 82.1%; underwent contrast-enhanced ultrasonography combined with elastography, diagnosis consistent rate of benign nodules was 98.5%, diagnosis coincidence rate of malignant nodules was 97.6%, the diagnosis coincidence rate of the contrast-enhanced ultrasound combined with elastography diagnosis was significantly higher than those of conventional contrast-enhanced ultrasound diagnosis and elastography diagnosis, the differences were statistically significant （ P〈0.05 ） .Conclusion： Elastography diagnosis has a certain value to the clinical diagnosis of thyroid benign and malignant nodules, but in order to further enhance the accuracy of clinical diagnosis, in clinical diagnosis of benign and malignant thyroid nodules, contrast-enhanced uhrasonography combined with elastography diagnosis must be used.
出处
《中国医学创新》
CAS
2017年第22期38-41,共4页
Medical Innovation of China
关键词
甲状腺良恶性结节
超声造影
弹性成像
Benign and malignant thyroid nodules
Contrast-enhanced ultrasound
Elastic imaging
