摘要
目的:探讨实时组织弹性成像在甲状腺实性结节中的鉴别诊断价值。方法:对25例(35个结节)甲状腺结节患者术前进行常规超声及实时组织弹性成像检查,结果与术后病理对照分析。结果:常规超声鉴别诊断甲状腺良恶性结节的灵敏度、特异度、准确度分别为71.43%(10/14)、95.24%(20/21)、85.71%(30/35)。超声弹性成像鉴别诊断甲状腺结节良恶性的灵敏度、特异度、准确度分别为64.28%(9/14)、71.43%(15/21)、68.57%(24/35)。两者结合的灵敏度、特异度、准确度分别为85.71%(12/14)、71.43%(15/21)、77.14%(27/35)。结论:实时组织弹性成像对甲状腺实性结节具有一定的鉴别诊断价值,其与常规超声结合能提高对甲状腺良恶性结节诊断的灵敏度,且方法简便、经济、无创,值得在临床应用推广。
Objective:To explore the value of real-time tissue elastography imaging in the diagnosis of solid nodules of thyroid.Methods:The preoperational conventional ultrasound and real-time tissue elastography imaging were carried out in 25 patients(including 35 nodules).The results were compared with pathological results.Results:The sensitivity,specificity,and accuracy of conventional ultrasound in diagnosing the malignant nodules of thyroid were 71.43%(10/14)、95.24%(20/21)、85.71%(30/35),respectively.While the sensitivity,specificity,accuracy of real-time tissue elastography imaging respectively were 64.28%(9/14)、71.43%(15/21)、68.57%(24/35).When both of the two methods were used,the sensitivity,specificity,and accuracy were 85.71%(12/14)、71.43%(15/21)、77.14%(27/35).Conclusion:Real-time tissue elastography imaging is valuable in the differential diagnosis of thyroid nodules.When applied together with conventional ultrasound,it may improve the sensitivity of diagnosing.
出处
《南京医科大学学报(自然科学版)》
CAS
CSCD
北大核心
2012年第8期1131-1135,共5页
Journal of Nanjing Medical University(Natural Sciences)
关键词
超声诊断
实时组织弹性
甲状腺
结节
ultrasonic diagnosis; real-time tissue elastography; thyroid; nodule