超声探头加压法对甲状腺结节性质的探讨  

The evaluation of character of thyroid nodules by ultrasound scanned with press

作　　者：武国良[1] 李建华[1] 秦毅[1] 高春霞[1] 

机构地区：[1]山东省荣成市人民医院B超室,山东荣成264300

出　　处：《中国医药导报》2010年第34期73-74,共2页China Medical Herald

摘　　要：目的:探讨超声探头加压对诊断甲状腺肿块良恶性价值及影响因素分析。方法:甲状腺肿块患者68例,病灶共116个,行常规二维及彩色多普勒超声检查,此外加做超声探头加压成像检查。结果:良性病灶共101个,恶性病灶15个。以≥3级为界值时,超声探头加压成像诊断甲状腺恶性肿块的敏感性、特异性、准确性分别为80.0%(12/15)、74.3%(75/101)、75.0%(87/116)。结论:超声探头加压法诊断甲状腺肿块具有一定的临床价值,虽然其敏感性、特异性、准确性均低于弹性成像的报道,但对于基层超声医师具有更重要的意义;结合结节二维超声特点,可明显提高甲状腺结节良、恶性的鉴别能力。Objective：To investigate the value of ultrasound scanned with press in the diagnosis of thyroid nodules.Methods：Sixty-eight patients with thyroid nodules,including 116 lesions were scanned by basic ultrasound and Color Doppler Flow Imaging,then scanned by ultrasound scan with press.Results：101 Benign lesion,15 malignant lesions.The cut-off value was equal or more than 3,the sensitivity,specificity,accuracy was 80.0%,73.4%,75.0% respectively.Conclusion：Ultrasound scanned with press is useful in diagnosis of little thyroid masses,although it is lower than elasticity imaging in sensitivity,specificity and accuracy,has important value for elementary doctor.A combination of basic ultrasound and ultrasound scanned with press can significantly enhance the discrimination of malignant thyroid nodules from benign thyroid nodules.

关 键 词：甲状腺结节 超声检查 加压 

分 类 号：R445.1[医药卫生—影像医学与核医学]