乳腺影响报告和数据系统分级联合剪切波弹性成像对鉴别甲状腺结节良恶性的诊断价值

Diagnostic value of Thyroid Imaging Reporting and Data System combined with shear wave elastography in differentiating benign and malignant thyroid nodules

目的探讨甲状腺影响报告和数据系统(TI-RADS)分级联合剪切波弹性成像对鉴别甲状腺结节良恶性的诊断价值。方法将本院收治经病理诊断及手术证实的甲状腺结节患者50例,先后采用经剪切波弹性成像单一诊断、经剪切波弹性成像与TI-RADS分级联合诊断,对比2种诊断方法的诊断价值。结果联合诊断阳性甲状腺结节为45例,其中良性34例,恶性11例;单一诊断的阳性甲状腺结节28例,其中良性23例,恶性5例。联合诊断的甲状腺结节阳性、良性及恶性诊断率均优于对照组(P<0.05)。结论甲状腺结节采用剪切波弹性成像与TI-RADS分级联合检查可提升甲状腺结节良恶性临床诊断率,确保临床诊断科学性及合理性。

Objective To evaluate the diagnostic value of Thyroid Imaging Reporting and Data System(TI-RADS)combined with shear wave elastography in differentiating benign and malignant thyroid nodules.Methods A total of 50 patients with thyroid nodules confirmed by pathology and surgery in our hospital were successively conducted shear wave elastography,shear wave elastography combined with TI-RADS.The diagnostic value of the two methods were compared.Results There were 45 cases confirmed as positive thyroid nodules by combined diagnosis,among whom 34 cases were benign and 11 cases were malignant.A total of 28 cases diagnosed as positive thyroid nodules by single diagnosis,including 23 benign cases and 5 malignant cases.The combined diagnosis was higher than the control group in the positive rate of thyroid nodules,diagnostic rates of benign and malignant thyroid nodules(P<0.05).Conclusion Shear wave elastography and TI-RADS in combination can improve the clinical diagnostic rate of malignant and benign thyroid nodules,and ensure the scientific and rational diagnosis.