声脉冲辐射力弹性成像及超声造影对甲状腺良恶性结节的鉴别诊断价值

发布时间：2018-05-03 03:22

本文选题：甲状腺结节 + 声脉冲辐射力弹性成像技术　；参考：《重庆医学》2017年27期

【摘要】：目的评估声脉冲辐射力弹性成像(ARFI)、超声造影(CEUS)单独应用及二者联合应用对TI-RADS 3类和4类甲状腺结节的鉴别诊断价值。方法收集河南科技大学第一附属医院住院手术的甲状腺结节患者68例(TI-RADS 3类和4类结节99个),对其影像学资料进行回顾性分析,所有患者在术前同时行ARFI及CEUS检查,以病理结果为金标准,用统计学方法比较分析ARFI、CEUS单独应用及二者联合应用对甲状腺TI-RADS 3类和4类结节的鉴别诊断价值。结果 ARFI和CEUS对TIRADS 3类和4类结节均有较高的鉴别诊断价值,但是,ARFI和CEUS单独运用时,二者的诊断价值差异无统计学意义(P0.05),ARFI和CEUS联合应用诊断的灵敏度与准确率显著提高。结论 ARFI联合CEUS可用于鉴别TI-RADS 3类和4类甲状腺结节。
[Abstract]:Objective to evaluate the value of acoustic pulse power elastic imaging (ARFI) and contrast-enhanced ultrasound (CEUs) in the differential diagnosis of TI-RADS type 3 and 4 thyroid nodules. Methods Sixty-eight patients with TI-RADS 3 and 4 types of thyroid nodules who were hospitalized in the first affiliated Hospital of Henan University of Science and Technology were retrospectively analyzed for their imaging data. Both ARFI and CEUS were performed before operation. The value of ARFICEUS alone and combined with ARFICEUS in the differential diagnosis of thyroid TI-RADS type 3 and 4 type nodule was compared with pathological results as gold standard. Results ARFI and CEUS had high value in differential diagnosis of TIRADS type 3 and 4 types of nodules, but there was no significant difference in the diagnostic value between the two groups when they were used alone. The sensitivity and accuracy of the combined use of P0.05 and CEUS were significantly improved. Conclusion ARFI combined with CEUS can be used to differentiate 3 and 4 types of thyroid nodules from TI-RADS.
【作者单位】：河南科技大学临床医学院/河南科技大学第一附属医院超声科;
【基金】：河南省洛阳市科技计划医疗卫生项目(1603001A-10)
【分类号】：R445.1;R736.1

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