常规超声结合超声弹性成像在良恶性甲状腺结节鉴别诊断中的应用价值

发布时间：2018-06-20 14:00

  本文选题：甲状腺结节 + 超声检查　； 参考：《南京医科大学学报(自然科学版)》2015年11期

【摘要】：目的:评价常规超声结合超声弹性成像在良恶性甲状腺结节鉴别诊断中的应用价值。方法 :72个甲状腺结节术前均行常规超声及超声弹性成像检查,将常规超声及弹性成像结果与病理结果进行比较。结果:常规超声诊断甲状腺结节的敏感度、特异度、准确率分别为87.10%、82.93%、84.72%。超声弹性成像图中良性病变以0~Ⅱ级多见,而恶性病变以Ⅲ~Ⅳ级多见,以Ⅲ级以上(含Ⅲ级)作为判断恶性的标准,其诊断的敏感度、特异度、准确率分别为90.32%、90.24%、90.28%。超声弹性成像诊断的准确率与常规超声比较,差异没有统计学意义(P0.05)。而常规超声联合超声弹性成像,则其敏感度、特异度、准确率分别为93.55%、97.56%、95.83%,其准确率与常规超声比较,差异有统计学意义(P0.05)。结论:常规超声检查联合超声弹性成像,可以提高良恶性甲状腺结节鉴别诊断的敏感性,降低漏诊率。
[Abstract]:Objective: to evaluate the value of conventional ultrasonography combined with elastography in differential diagnosis of benign and malignant thyroid nodules. Methods: 72 thyroid nodules were examined by conventional ultrasonography and elastography before operation. The results of conventional ultrasound and elastic imaging were compared with pathological findings. Results: the sensitivity, specificity and accuracy of conventional ultrasonography in the diagnosis of thyroid nodule were 87.1093 and 84.72, respectively. In the elastography of ultrasound, the benign lesions were mostly found in grade 0 ~ 鈪，

本文编号：2044501