高频超声及弹性成像在甲状腺微小结节病变中的诊断价值

The Diagnostic Value of High Frequency Ultrasonography and Elastography in Thyroid Nodule Lesions

目的分析高频超声与弹性成像在甲状腺微小结节病变中的诊断价值。方法选择2016年9月-2018年7月河南省偃师市人民医院收治的甲状腺微小结节病变患者共101例为研究对象,患者均经过手术治疗及高频超声、弹性成像检查,回顾性分析检查结果的准确性。结果 101例患者手术共检出121个病灶,其中联合诊断准确为102例,误诊19例。恶性结节超声表现主要为:纵横比≥1、微钙化、形态不规则、内部低回声,且弹性评分均在4分及以上。联合诊断准确率高于单独诊断准确率,差异有统计学意义(P <0.05)。结论采用高频超声与弹性成像对甲状腺微小结节病变有较高的诊断价值,值得应用。

Objective To analyze and study the diagnostic value of high-frequency ultrasound and elastography for thyroid nodule lesions.Methods A total of 101 patients admitted to our hospital for thyroid microtuberculous lesions from September 2016 to July 2018 were selected as subjects.All the patients underwent surgical treatment,high-frequency ultrasound and elastography,and the accuracy of the examination results was analyzed retrospectively.Results A total of 121 lesions were detected in 101 patients,of which 102 were diagnosed correctly and 19 were misdiagnosed.The ultrasonographic manifestations of malignant nodules were≥1,microcalcification,irregular morphology and internal hypoecho.Elasticity scores were all above 4.The combined diagnosis accuracy was higher than that of single diagnosis,and the difference was statistically significant(P<0.05).Conclusion High frequency ultrasonography and elastography are of high diagnostic value and worthy of application.