甲状腺肿块超声弹性成像与超声引导下穿刺活检病理相关性研究

The correlation research of elastography in the diagnosis of thyroid nodules with pathology of needle biopsy by ultrasonic guidance

目的探讨超声弹性成像诊断甲状腺良恶性肿块与超声引导下肿物穿刺活检病理结果的相关性。方法选择我院住院患者41例58个甲状腺结节,分别进行实时超声弹性成像检查,同时行超声引导下穿刺甲状腺结节活检,最后与病理结果对照分析。结果超声引导下穿刺活检的58个甲状腺结节中,良性43个,恶性15个,超声弹性成像技术诊断甲状腺恶性结节的敏感性为93.33%、特异性为88.37%、准确性为89.66%。结论超声弹性成像技术诊断甲状腺肿块具有较高的临床价值,同时应用超声引导下穿刺活检可全面准确、安全、简便的诊断甲状腺疾病,并为正确指导治疗提供了充分的理论依据。

Objective To study the correlation of elastography in the diagnosis of benign and malignant thyroid nodules with pathology of needle biopsy by ultrasonic guidance.Methods 58 thyroid nodules of 41 patients in our hospital were examined by the real-time elastography respectively,and simultaneously by percutaneous biopsy of thyroid nodules by ultrasonic guidance.Pathological results of thyroid nodules were compared with contrast analysis.Results 43 benign thyroid nodules and 15 malignant thyroid nodules were founded with using needle biopsy by ultrasonic guidance.The sensitivity,specificity and accuracy of the elastography in the diagnosis of thyroid nodules were 93.33%,88.37%,89.66%.Conclusion There is higher clinical value with ultrasound elastography diagnosing thyroid nodules,while combines with needle biopsy by ultrasonic guidance simultaneously.It provides accurate,safe,comprehensive and convenient methods for diagnosis thyroid disease,and it provides sufficient theory basis for the correct instruction treatment.