常规超声与实时超声弹性成像联合应用诊断甲状腺结节的价值  

The value of combined ultrasound and real-time ultrasound elastography in the diagnosis of thyroid nodules

作　　者：李洁[1] 李建志[2] 解文[2] 刘维晶 Li Jie;Li Jian-zhi;Xie Wen;Liu Wei-jing(Jinan City People 's Government organs out - patient department, Jinan , Shandong, 250000, China;Jinan City Infectious Diseases Hospital, Jinan, Shandong, 250021, China;Jinan Central Hospital, Jinan, Shandong, 250013, China)

机构地区：[1]山东省济南市人民政府机关门诊部,山东济南250000 [2]济南市传染病医院,山东济南250021 [3]济南市中心医院,山东济南250013

出　　处：《当代医学》2017年第26期14-17,共4页Contemporary Medicine

摘　　要：目的探究实时超声弹性成像联合常规超声在甲状腺结节中的诊断价值。方法选取84例甲状腺结节患者资料,84例患者均行实时超声弹性成像、常规超声诊断,以术后病理结果为金标准,观察病理结果及三种探查方式的诊断结果情况。结果本次研究的84例患者共89个结节。良性结节患者55例,共56个结节:肉芽肿甲状腺炎2例(2个)、淋巴细胞性甲状腺炎1例(1个)、弥漫毒性甲状腺肿4例(4个)、甲状腺腺瘤8例(8个)、结节性甲状腺肿40例(41个)。恶性结节患者29例,共33个结节:鳞状细胞癌1例(2个)、非霍奇金淋巴瘤7例(8个)、髓样癌7例(7个)、乳头状癌14例(16个);其超声弹性成像联合常规超声的特异度75.00%、阳性预测值65.85%、准确率82.14%均较超声弹性成像57.14%、48.93%、65.47%及常规超声46.42%、44.44%、59.52%高,差异有统计学意义(P<0.05)。结论实时超声弹性成像的诊断结果较常规超声优,两者联合探查效果更佳,具一定临床应用与研究价值。Objective To evaluate the diagnostic value of real-time ultrasound elastography combined with conventional ultrasound in thyroidnodules.Methods84patients underwent real-time ultrasound elasticity imaging.Routine ultrasonography was used to diagnose the pathological resultsand observe the pathological results.Three diagnostic methods of the detection of the situation.Results A total of89nodules were treated in84patients.Benign nodules in55cases,a total of56nodules:granulomatous thyroiditis in2cases(2),lymphoid thyroiditis in1case(1),diffuse toxicgoiter in4cases(4),thyroid adenoma8cases(8),nodular goiter40cases(41).29cases of malignant nodules,a total of33nodules:squamous cellcarcinoma in1case(2),non-Hodgkin's lymphoma in7cases(8),7cases of medullary carcinoma(7),papillary carcinoma14%(16cases),the specificityof ultrasonic elastography combined with conventional ultrasound was75.00%,the positive predictive value was65.85%,and the accuracy ratewas82.14%,which was57.14%,48.93%,65.47%and46.42%,59.52%high,the difference was statistically significant(P<0.05).Conclusion Theresults of real-time ultrasound elastography are better than those of conventional ultrasound,and the combination of the two is better and has a certainclinical application and research value.

关 键 词：弹性成像 超声 甲状腺结节 

分 类 号：R445.1[医药卫生—影像医学与核医学] R581[医药卫生—诊断学]