剪切波弹性成像对桥本甲状腺炎与Riedel甲状腺炎的诊断价值研究

发布时间：2018-02-22 15:39

本文关键词： 甲状腺炎弹性成像技术诊断　出处：《中国全科医学》2017年33期 　论文类型：期刊论文

【摘要】：目的探讨剪切波弹性成像(SWE)对桥本甲状腺炎(HT)与Riedel甲状腺炎(RT)的诊断价值。方法收集2014年5月—2016年11月于海南省人民医院行SWE检查并经手术病理证实的HT患者35例(HT组)及RT患者9例(RT组),选择同期于本院体检健康者30例作为对照组。对3组SWE弹性值均值进行统计学分析,以病理诊断为金标准,绘制SWE弹性值均值诊断两种甲状腺炎的受试者工作特征(ROC)曲线。结果对照组SWE弹性值均值低于HT组及RT组(P0.01)。RT组SWE弹性值均值高于HT组(P0.01)。SWE弹性值均值诊断HT的ROC曲线下面积为0.90[95%CI(0.86,0.95)],临界点为65.45 k Pa,灵敏度为88.9%,特异度为91.4%;SWE弹性值均值诊断RT的ROC曲线下面积为0.88[95%CI(0.83,0.92)],临界点为72.20 k Pa,灵敏度为82.9%,特异度为88.5%。结论 SWE对HT与RT具有较好的诊断价值,可以为临床医生提供重要的诊断依据。
[Abstract]:Objective to evaluate the diagnostic value of shear wave elastography (SWE) in the diagnosis of Hashimoto's thyroiditis (HT) and Riedel's thyroiditis (RTT). Methods SWE examination was performed in Hainan Provincial people's Hospital from May 2014 to November 2016 and confirmed by surgery and pathology. 30 healthy subjects were selected as control group. The mean value of SWE elasticity was analyzed statistically in the three groups. With pathological diagnosis as the gold standard, Results the mean value of SWE elasticity in the control group was lower than that in the HT group and the RT group was lower than that in the RT group and the SWE elasticity value in the RT group was higher than that in the HT group. The area under the line is 0.90 [95CIJ 0.860.95], the critical point is 65.45kPa, the sensitivity is 88.9K, the specificity is 91.4 and the area under the ROC curve for the diagnosis of RT is 0.88 [95CI0.830.92], the critical point is 72.20kPaand the sensitivity is 82.9, the specificity is 88.55.Conclusion SWE has better diagnostic value for HT and RT. It can provide important diagnostic basis for clinicians.
【作者单位】：海南省人民医院超声科;海南省第三人民医院海南省农垦三亚医院超声科;
【基金】：三亚市医疗卫生科技创新项目(2015YW33)
【分类号】：R445.1;R581.4

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