超声成像结合超声造影鉴别甲状腺良恶性病变

发布时间：2018-05-02 20:09

本文选题：超声成像 + 超声造影　；参考：《中国超声医学杂志》2015年10期

【摘要】：目的评估超声成像结合超声造影鉴别甲状腺良恶性病变的应用价值。方法回顾性分析226例甲状腺结节的超声成像特征及超声造影,评估超声成像、超声造影及二者联合鉴别甲状腺良恶性病变的价值。结果超声成像组诊断甲状腺结节的诊断符合率为81.8%,诊断甲状腺癌的灵敏度、特异度为83.8%、76.3%。超声造影组诊断符合率为70.4%,诊断甲状腺癌的灵敏度、特异度为71.3%、67.8%。二者联合诊断符合率为88.5%,诊断甲状腺癌的灵敏度、特异度为89.8%、84.7%。结论超声成像能够较好的鉴别甲状腺良恶性病变,超声造影能够作为鉴别甲状腺良恶性的较好的补充,二者联合能提高诊断及鉴别甲状腺良恶性病变的能力。
[Abstract]:Objective to evaluate the value of ultrasonography combined with contrast-enhanced ultrasonography in the differential diagnosis of benign and malignant thyroid diseases. Methods the ultrasonographic features and contrast-enhanced ultrasonography of 226 cases of thyroid nodules were analyzed retrospectively to evaluate the value of ultrasonography, contrast-enhanced ultrasonography and their combination in differentiating benign and malignant thyroid lesions. Results the diagnostic coincidence rate for thyroid nodules was 81.8 in ultrasound imaging group. The sensitivity and specificity of ultrasonography in diagnosing thyroid carcinoma were 83.8% and 76.3% respectively. The diagnostic coincidence rate of contrast-enhanced ultrasound group was 70.4. The sensitivity and specificity of ultrasonography group were 71.3% and 67.8% respectively. The sensitivity and specificity of the combined diagnosis of thyroid carcinoma were 89.8% and 84.7%, respectively. Conclusion Ultrasound imaging can distinguish benign and malignant thyroid lesions and contrast-enhanced ultrasound can be a good supplement for differentiating benign and malignant thyroid lesions. The combination of ultrasonography and ultrasonography can improve the ability of diagnosing and differentiating benign and malignant thyroid lesions.
【作者单位】：深圳大学第一附属医院超声科;
【基金】：深圳市医学重点专科建设经费(No.2005C06)
【分类号】：R445.1;R736.1

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