实时组织弹性成像鉴别诊断甲状腺实性结节的价值  

The differential diagnostic value of real-time tissue elastography imaging in the solid nodules of thyroid

作　　者：巩海燕[1] 林红军[1] 叶新华[1] 栗翠英[1] 吕颖钺[2] 武晓泓[2] 

机构地区：[1]南京医科大学第一附属医院超声诊断科,江苏南京210029 [2]南京医科大学第一附属医院内分泌科,江苏南京210029

出　　处：《南京医科大学学报（自然科学版）》2012年第8期1131-1135,共5页Journal of Nanjing Medical University(Natural Sciences)

摘　　要：目的:探讨实时组织弹性成像在甲状腺实性结节中的鉴别诊断价值。方法:对25例(35个结节)甲状腺结节患者术前进行常规超声及实时组织弹性成像检查,结果与术后病理对照分析。结果:常规超声鉴别诊断甲状腺良恶性结节的灵敏度、特异度、准确度分别为71.43%(10/14)、95.24%(20/21)、85.71%(30/35)。超声弹性成像鉴别诊断甲状腺结节良恶性的灵敏度、特异度、准确度分别为64.28%(9/14)、71.43%(15/21)、68.57%(24/35)。两者结合的灵敏度、特异度、准确度分别为85.71%(12/14)、71.43%(15/21)、77.14%(27/35)。结论:实时组织弹性成像对甲状腺实性结节具有一定的鉴别诊断价值,其与常规超声结合能提高对甲状腺良恶性结节诊断的灵敏度,且方法简便、经济、无创,值得在临床应用推广。Objective：To explore the value of real-time tissue elastography imaging in the diagnosis of solid nodules of thyroid.Methods：The preoperational conventional ultrasound and real-time tissue elastography imaging were carried out in 25 patients（including 35 nodules）.The results were compared with pathological results.Results：The sensitivity,specificity,and accuracy of conventional ultrasound in diagnosing the malignant nodules of thyroid were 71.43%（10/14）、95.24%（20/21）、85.71%（30/35）,respectively.While the sensitivity,specificity,accuracy of real-time tissue elastography imaging respectively were 64.28%（9/14）、71.43%（15/21）、68.57%（24/35）.When both of the two methods were used,the sensitivity,specificity,and accuracy were 85.71%（12/14）、71.43%（15/21）、77.14%（27/35）.Conclusion：Real-time tissue elastography imaging is valuable in the differential diagnosis of thyroid nodules.When applied together with conventional ultrasound,it may improve the sensitivity of diagnosing.

关 键 词：超声诊断 实时组织弹性 甲状腺 结节 

分 类 号：R445.1[医药卫生—影像医学与核医学]