超声造影对甲状腺实性结节恶性风险的评估价值

发布时间：2018-01-14 11:12

本文关键词：超声造影对甲状腺实性结节恶性风险的评估价值　出处：《中国超声医学杂志》2017年05期 　论文类型：期刊论文

【摘要】：目的分析超声造影(CEUS)评估甲状腺实性结节恶性风险的价值。方法回顾性分析经病理证实的113例甲状腺实性结节的超声造影资料,比较良恶性结节的CEUS特点,采用二元Logistic回归分析各项造影指标评估甲状腺实性结节的恶性风险度。结果甲状腺良恶性实性结节的始增速度、增强程度、增强包膜、增强边界、廓清速度差异均有统计学意义,增强形态差异无统计学意义。回归分析筛选出3个特征与甲状腺恶性结节独立相关,其相对危险度从高到低依次为:增强边界不清、快退、慢进。结论 CEUS对评估甲状腺实性结节的恶性风险有重要价值。
[Abstract]:Objective to analyze the value of contrast-enhanced ultrasonography (CEUSS) in evaluating the malignant risk of solid thyroid nodules. Methods the ultrasonographic data of 113 cases of solid thyroid nodules confirmed by pathology were retrospectively analyzed. To compare the CEUS features of benign and malignant nodules. A binary Logistic regression analysis was used to evaluate the degree of malignancy of solid thyroid nodules. Results the initial increase rate, enhancement degree and envelope of benign and malignant solid thyroid nodules were evaluated. The differences of enhancement boundary and clearance speed were statistically significant, but there was no significant difference in enhancement morphology. Regression analysis showed that three characteristics were independent of thyroid malignant nodules. The relative risk from high to low is as follows: unclear enhancement boundary, rapid regression and slow progression. Conclusion CEUS is of great value in evaluating the malignant risk of solid thyroid nodules.
【作者单位】：兰州大学第二医院超声科;
【基金】：兰州大学第二医院院内博士科研基金项目(No.2015.151)
【分类号】：R445.1;R581;R736.1
【正文快照】： 甲状腺结节是临床常见的疾病,超声是检查甲状腺结节的首选影像学方法。随着超声技术的发展,超声造影(contrast-enhanced　ultrasound,CEUS),弹性成像、超声引导下甲状腺细针抽吸活检(fine　nee-dle　aspiration,FNA)等已被越来越多的应用。CEUS作为一种无创、安全、简单的检查

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