超声造影联合弹性成像对桥本氏甲状腺炎合并结节的良恶性诊断价值

发布时间：2018-03-08 08:53

  本文选题：桥本氏甲状腺炎　切入点：良恶性结节　出处：《青海大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:学习并讨论桥本氏甲状腺炎合并结节的超声造影与弹性成像的特征,并且同时评价二者单一检查与联合检查时的准确性。方法:2015年11月至2016年12月收治本院桥本氏甲状腺炎合并结节患者43(53个)例,分别行弹性成像与CEUS检查,研究过程中储存数据并分析特征,以穿刺或病理活检结果为“金标准”,对比分析,采用spass19.0软件行数据分析。结果:53个病灶进行了病理活检,良性有32个,恶性有21个,弹性成像检查示良性病灶的弹性评分均≤4分,恶性病灶的弹性评分均≥2分,CEUS的检查示良性病灶微泡进入特点主要呈现均匀性增强,恶性病灶微泡进入特点主要呈现不均匀性增强。超声弹性成像以≥4分为高度恶性指标,准确性58.49%,CEUS以不均匀性弱增强为高度恶性指标,准确性69.81%,CEUS联合弹性成像的准确性90.57%,较单一的CEUS及弹性成像技术要高,且差异有统计学意义(P0.05)。结论:CEUS联合弹性成像对桥本氏甲状腺炎合并结节性质的有较高的诊断价值,为疾病的临床诊治提供了较可靠依据。
[Abstract]:Objective: to study and discuss the features of sonography and elastic imaging of Hashimoto's thyroiditis with nodules. Methods: from November 2015 to December 2016, 43 (53) patients with Hashimoto's thyroiditis complicated with nodules were examined by elastography and CEUS, respectively. The data were stored and analyzed in the course of the study. The results of puncture or pathological biopsy were regarded as "golden standard". The data were analyzed by spass19.0 software. Results: there were 32 benign lesions and 21 malignant lesions. Elastic imaging showed that the elastic scores of benign lesions were 鈮，

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