TI-RADS联合e-Flow对甲状腺结节定性诊断价值的探讨  

Value of e-Flow combined with TI-RADS in qualitative diagnosis of thyroid nodules

作　　者：张晓文[1] 温德惠[2] 刘翔宇[2] 陆海永 薛刚[3] 

机构地区：[1]河北北方学院,河北张家口075000 [2]河北北方学院附属第一医院超声医学科 [3]河北北方学院附属第一医院耳鼻咽喉头颈外科

出　　处：《临床耳鼻咽喉头颈外科杂志》2015年第19期1694-1697,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨甲状腺影像学报告及数据系统(TI-RADS)联合增强型血流显像技术(e-Flow)在甲状腺结节良恶性方面的诊断价值;并比较e-Flow与CDFI对甲状腺结节血流显像的诊断效能。方法:选取甲状腺肿物切除术前的患者133例共179个结节(良性127个,恶性52个),对每个甲状腺结节依次行常规二维超声、CDFI及e-Flow显像检查,所有结节均按照TI-RADS进行分级,术后对照病理结果,比较单独TI-RADS、TI-RADS+CDFI、TI-RADS+e-Flow对甲状腺结节定性诊断的价值;比较e-Flow与CDFI对甲状腺结节血流显像的诊断效能。结果:1TI-RADS+e-Flow对甲状腺结节定性诊断的敏感度(94.23%)高于单独应用TI-RADS的诊断标准(P<0.05);2TI-RADS+CDFI对甲状腺结节定性诊断的敏感度(80.77%)与单独应用TI-RADS诊断的敏感度差异无统计学意义;3TI-RADS+e-Flow与TI-RADS+CDFI对甲状腺结节定性诊断的敏感度差异无统计学意义;4单独应用e-Flow对甲状腺结节血流显像的敏感度(P<0.05)、特异度(P<0.05)及准确度(P<0.01)均高于单独应用CDFI。结论:TI-RADS联合e-Flow能够提高超声对甲状腺结节定性诊断的灵敏度;e-Flow技术对甲状腺结节血流显像的诊断效能优于CDFI技术。Objective： To investigate the value of combination of thyroid imaging reporting and data system （TI-RADS） and enhanced flow （e-Flow） in the qualitative diagnosis of thyroid nodules; and to compare the diagnostic efficiency between e-Flow and color doppler flow imaging （CDFI）. Method：The study chose 133 patients with 179 nodules （127 benign, 52 malignant nodules） who had per-operative ultrasound examination of their thy- roid using grey-scale ultrasound, CDFI, e-Flow, and their noudles were graded by TI-RADS. Then the ultrasound diagnostic value were compared with their surgical pathology results by TI-RADS; TI-RADS and CDFI; TI-RADS and e-Flow, and diagnostic efficiency between e-Flow and CDFI were compared. Result：The results revealed that combination of TI-RADS and e-Flow had a higher sensitivity （94.23%, P^0.05）. There was no statistically sig- nificant difference between TI-RADS and the combination of TI-RADS and CDFI. Likewise, there was no significant difference between the combination of TI-RADS and e-Flow and the combination of TI-RADS and CDFI. The e-Flow showed a higher sensitivity, specificity and accuracy compare to the CDFI. Conclusion：Combining e-Flow and TI-RADS could improve the sensitivity in qualitative diagnosis of thyroid nodules. Also, e-Flow has a better diagnostic efficiency of thyroid nodules.

关 键 词：甲状腺结节 甲状腺影像学报告及数据系统 增强型血流显像 彩色多普勒血流显像 

分 类 号：R581[医药卫生—内分泌]