摘要
目的分析超声造影联合弹性成像技术在甲状腺结节诊断中的应用价值。方法选取2021年1月至2024年4月普宁市人民医院经病理检查确诊的80例甲状腺结节患者,共139个结节作为研究对象,均行超声造影检查、弹性成像技术检查,以病理检查结果为金标准,比较超声造影、弹性成像技术和二者联合诊断对甲状腺结节良恶性的诊断效能。结果病理检查结果显示,139个结节中,良性结节99个,占比71.22%,恶性结节40个,占比28.78%。超声造影检查结果显示,139个甲状腺结节中,良性结节119个,恶性结节20个。弹性成像技术检查结果显示,139个甲状腺结节中,良性结节111个,恶性结节28个。超声造影、弹性成像技术联合诊断结果显示,139个甲状腺结节中,良性结节105个,恶性结节34个。超声造影、弹性成像技术联合诊断敏感度(82.50%)、特异度(98.99%)、准确度(94.24%)、阳性预测值(97.06%)、阴性预测值(93.33%)高于弹性成像技术检查(57.50%、94.49%、84.17%、82.14%、84.68%)和超声造影检查(27.50%、90.91%、72.66%、55.00%、75.63%)。结论超声造影联合弹性成像技术在甲状腺结节诊断中的应用效果优于单独超声造影和单独弹性成像技术诊断,值得临床推广应用。
Objective To analyze the value of contrast-enhanced ultrasound combined with elastography in the diagnosis of thyroid nodules.Methods A total of 139 nodules in 80 patients with thyroid nodules confirmed by pathological examination in Puning People's Hospital from January 2021 to April 2024 were selected as the study objects,all of which were examined by contra-enhanced ultrasound and elastography technology,with pathological examination results as the gold standard.The diagnostic efficacy of contrast-enhanced ultrasound,elastography and combined diagnosis of benign and malignant thyroid nodules was compared.Results Pathological examination showed that among 139 nodules,99 were benign,accounting for 71.22%,and 40 were malignant,accounting for 28.78%.The results of contrast-enhanced ultrasound showed that 119 of 139 thyroid nodules were benign and 20 were malignant.Elastography showed that 111 of 139 thyroid nodules were benign and 28 were malignant.The combined diagnosis results of contrast-enhanced ultrasound and elastography showed that among 139 thyroid nodules,105 were benign and 34 were malignant.The diagnostic sensitivity(82.50%),specificity(98.99%),accuracy(94.24%),positive predictive value(97.06%)and negative predictive value(93.33%)of contrast-enhanced ultrasound and elastography combined were higher than those of elastography(57.50%,94.49%,84.17%,82.14%,84.68%)and contrast-enhanced ultrasound(27.50%,90.91%,72.66%,55.00%,75.63%).Conclusion Contrast-enhanced ultrasound combined with elastography is superior to contrast-enhanced ultrasound and elastography alone in the diagnosis of thyroid nodules,and is worthy of clinical application.
作者
黄书晖
吴伟婷
辜晓虹
郑晓伟
赖沛林
HUANG Shuhui;WU Weiting;GU Xiaohong;ZHENG Xiaowei;LAI Peilin(Department of Ultrasound,Puning People's Hospital,Guangdong Province,Puning 515300,China;Department of Endocrinology,Puning People's Hospital,Guangdong Province,Puning 515300,China)
出处
《中国当代医药》
2024年第35期92-95,共4页
China Modern Medicine
基金
广东省揭阳市卫生医疗科技创新项目(ylws2024020)。
关键词
超声造影
弹性成像
良性甲状腺结节
恶性甲状腺结节
Contrax-enhanced ultrasound
Elastography
Benign thyroid nodule
Malignant thyroid nodule
作者简介
黄书晖(1981-),男,汉,广东陆丰人,副主任医师,研究方向:超声医学。
