超声弹性成像在甲状腺良恶性结节中的诊断价值

Diagnostic value of ultrasound elastography in benign and malignant thyroid nodules

目的分析超声弹性成像在甲状腺良恶性结节中的诊断价值。方法选取2017年10月～2018年9月在我院进行手术治疗的40例甲状腺良恶性结节患者(结节80个,其中恶性结节25个,良性结节55个)作为研究对象,按照随机分组法将其分为对照组和观察组,每组各20例。其中对照组患者给予常规超声造影进行诊断,而观察组采用超声弹性成像进行诊断,比较两组的诊断效果。结果两组患者均接受检查后,观察组的灵敏度、特异度、检出率、阳性预测值以及阴性预测值均高于对照组,差异有统计意义(P<0.05)。结论对甲状腺良恶性结节患者的诊断中实施超声弹性成像检查更能提高检查的准确率,从而提供可靠的参考依据,具有临床推广意义。

Objective To evaluate the diagnostic value of ultrasound elastography in benign and malignant thyroid nodules. Methods A total of 40 patients with benign and malignant thyroid nodules (80 nodules, including 25 malignant nodules and 55 benign nodules) who needed surgical treatment in our hospital from October 2017 to September 2018 were randomly divided into control group and observation group according to the method of random grouping. The patients in the control group were diagnosed by conventional contrast-enhanced ultrasound, while the patients in the observation group were diagnosed by ultrasound elastography. The sensitivity, specificity, negative predictive value and accuracy of the two groups were compared. Results After both groups of patients were examined, the sensitivity, specificity, detection rate, positive predictive value and negative predictive value of the observation group were higher than those of the control group, and the differences between the two groups were statistically significant (P<0.05). Conclusion The application of ultrasound elastography in the diagnosis of benign and malignant thyroid nodules can improve the accuracy of the examination, thus providing a reliable reference for clinical promotion.