超声造影和超声弹性成像诊断甲状腺良恶性结节的价值分析  

Value Analysis of Contrast-enhanced Ultrasound and Ultrasound Elastography in Diagnosis of Thyroid Benign and Malignant Nodules

作　　者：左恒玲[1] 余小琴[1] 王俊芳[1] 陈金华[1] ZUO Hengling;YU Xiaoqin;WANG Junfang;CHEN Jinhua(Longgang Central Hospital,Shenzhen 518116,China)

机构地区：[1]深圳市龙岗中心医院,广东深圳518116

出　　处：《现代医院》2019年第1期134-136,共3页Modern Hospitals

基　　金：深圳市龙岗区医疗卫生科技计划项目(编号:201620460)

摘　　要：目的探究超声造影(UC)和超声弹性成像(EIT)对甲状腺良恶性结节诊断中特异性和灵敏度。方法对2016年6月至2018年6月期间来我院急诊的甲状腺良恶性结节患者73例实施手术病理、常规超声、UC、EIT以及UC与EIT两者联合检查。结果常规超声诊断灵敏度、特异性、阳性预测值和阴性预测值分别为72. 58%、65. 38%、71. 43%和66. 67%,明显低于其他诊断方法,UC诊断灵敏度、特异性、阳性预测值和阴性预测值分别为96. 77%、94. 23%、95. 24%和96. 08%,均高于EIT,同时UC和EIT两者联合诊断灵敏度、特异性、阳性预测值和阴性预测值分别为98. 39%、96. 15%、96. 83%和98. 04%,高于UC诊断(P> 0. 05)。结论甲状腺良恶性结节诊断过程中应用UC和EIT,两种技术各有优点,两者联合具有较高灵敏度、特异性、阳性预测值和阴性预测值。Objective To explore the accuracy and specificity of ultrasonic contrast(UC) and ultrasound elastography(EIT) in the diagnosis of thyroid benign and malignant nodules.Methods 73 patients with benign and malignant thyroid nodules were selected and surgical pathology,conventional ultrasound,UC,EIT and Joint inspection were respectively performed on them.Results The sensitivity,specificity,positive predictive value and negative predictive value of conventional ultrasound were 72.58%,65.38%,71.43% and 66.67%,respectively,which were significantly lower than those of other diagnostic methods.And the sensitivity,specificity,positive predictive value and negative predictive value of UC were 96.77%,94.23%,95.24% and 96.08% respectively,which were higher than those of EIT.At the same time,the sensitivity,specificity,positive predictive value and negative predictive value were 98.39%,96.15%,96.83% and 98.04% respectively,which were higher than those of UC(P>0.05).Conclusion UI and EIT have their respective advantages in the diagnosis of benign and malignant thyroid nodules.The combination of UC and EIT has higher sensitivity,specificity,positive predictive and negative predictive values.

关 键 词：UC EIT 甲状腺良恶性结节 手术病理 常规超声 

分 类 号：R581[医药卫生—内分泌] R445.1[医药卫生—内科学]