摘要
本文研究并比较了彩超弹性成像技术和普通彩超进行甲状腺癌诊断的效果。选择126例甲状腺癌患者,以彩超弹性成像技术和普通彩超对甲状腺进行检查。结果显示,彩超弹性成像诊断恶性甲状腺癌的准确率高于普通彩超;彩超弹性成像检出恶性病变占比77.38%,明显高于普通彩超的44.64%,差异具有统计学意义(P<0.05)。患者甲状腺癌的恶性征象在全部恶性征象中的占比均超过80%,恶性征象在甲状腺癌患者中的占比以实性低回声最高,占71.43%。Logistics回归分析显示,甲状腺癌诊断结果的影响因素为淋巴结转移及病理类型。本研究表明采用彩超弹性成像技术能提高甲状腺恶性病变诊断的准确性,还能有效显示病灶良恶性程度,为临床诊断提供了可靠的检查办法。
The effects of different diagnostic methods in the diagnosis of thyroid cancer were investigated in this study.A total of 126 thyroid cancer patients were selected,and performed the thyroid color Doppler elastography and ordinary color Doppler ultrasound.The results showed that the diagnostic accuracy of color Doppler elastography was higher than that of ordinary color Doppler ultrasound.The malignant proportion detected by color Doppler elastography were 77.38%,which was significantly higher than 44.64%of ordinary Doppler ultrasound(P<0.05).The malignant signs of patients with thyroid cancer were more than 80%of all malignant signs,and hypoechoic mass was the most sign in the proportion of malignant signs in patients with thyroid cancer,accounting for 71.43%.Logistics regression analysis showed that the influencing factors for the diagnosis of thyroid cancer were lymph node metastasis and pathological type.This study shows that the use of thyroid color Doppler elastography can effectively improve the diagnostic accuracy of malignant thyroid lesions,and can also effectively show the benign and malignant lesion,providing a new and reliable method for clinical diagnosis.
作者
徐居勇
刘臻
李治军
吕莎莎
XU Juyong;LIU Zhen;LI Zhijun;LYU Shasha(Department of Imaging,Guangrao County People’s Hospital,Dongying 257300,Shandong,P.R.China;Department of Laboratory,Guangrao County People’s Hospital,Dongying 257300,Shandong,P.R.China;B Ultrasonic Room,Guangrao County People’s Hospital,Dongying 257300,Shandong,P.R.China)
出处
《影像科学与光化学》
CAS
2020年第4期642-646,共5页
Imaging Science and Photochemistry
关键词
差异性
彩色B超
甲状腺癌
TI-RADS
分级诊断
difference
color Doppler ultrasound
thyroid carcinoma
TI-RADS
grading diagnosis