超声弹性成像与常规超声在甲状腺结节诊断中的对比研究

Comparative study of ultrasound elastography and conventional ultrasound in the diagnosis of thyroid nodules

目的:比较超声弹性成像与常规超声在甲状腺结节诊断中的效果,为甲状腺结节的诊断提供更好的方法,达到尽早治疗的目的。方法:选取80例2016年6月至2017年6月我院收治的甲状腺结节患者为研究对象,分别经过常规超声检查和超声弹性成像检查,并进行组织病理学检查确认最终结果,以病理学检查结果为标准,比较两种检测方法的准确性,灵敏度和特异性。结果:病理学检查结果为良性结节62例,恶性结节18例。常规超声检查结果为:良性结节50例,恶性结节30例,超声弹性成像检查结果为:良性结节22例,恶性结节58例。而超声弹性成像的准确性,灵敏度和特异性分别为:90.00%,88.98%,93.33%,均显著高于常规超声检测,差异具有显著性(P<0.05)。结论:对于甲状腺结节的诊断,超声弹性成像的检查效果优于常规超声检查,筛选恶性和非恶性结节的能力均较好,值得推广使用。

Objective To compare the effect of ultrasound elastography and conventional ultrasound in the diagnosis of thyroid nodules, and to provide a better method for the diagnosis of thyroid nodules, so as to achieve the purpose of early treatment. Met.hods 80 cases of thyroid nodules treated in our hospital from June 2016 to June 2017 were studied. Routine ultrasonography and ultrasonic elastography were performed, and histopathological examination was carried out to confirm the final result.The accuracy, sensitivity and specificity of the two methods were compared on the basis of pathological findings.Results The pathological findings were 62 benign nodules and 18 malignant nodules. The results of conventional ultrasonography were 50 benign nodules and 30 malignant nodules. The results of ultrasonic elastography showed that there were 22 benign hodules and 58 malignant nodules. The accuracy, sensitivity and specificity of ultrasound elastography were significantly higher than those of conventional ultrasound, and the difference was significant {P〈0.05）.Condusion For the diagnosis of thyroid nodules, ultrasound elastography is superior to conventional ultrasonography in screening and screening malignant and nonmalignant nodules, worthy to promoting.