CAJ | 학술논문

目的探讨甲状腺结节的实时超声弹性成像,并与病理对照分析,评价其应用价值.方法收集在我院就诊并手术的甲状腺结节病例77例,共105个病灶,对其常规超声特征、弹性成像评分及病理资料进行回顾性分析.结果良性组28个病灶中有21个(75％)弹性评分为1～2分,恶性组77个病灶中有75个(97.4％)弹性评分为3～5分,以弹性评分1～2分与3～5分进行分组,不同大小病灶组良恶性间的弹性评分差异有统计学意义.结论实时弹性成像能显著提高超声对甲状腺良恶性结节的鉴别诊断能力,结节的弹性评分≥3分时,其恶性的可能性非常大.
목적 탐토갑상선결절적실시초성탄성성상,병여병리대조분석,평개기응용개치.방법 수집재아원취진병수술적갑상선결절병례77례,공105개병조,대기상규초성특정、탄성성상평분급병리자료진행회고성분석.결과 량성조28개병조중유21개(75％)탄성평분위1～2분,악성조77개병조중유75개(97.4％)탄성평분위3～5분,이탄성평분1～2분여3～5분진행분조,불동대소병조조량악성간적탄성평분차이유통계학의의.결론 실시탄성성상능현저제고초성대갑상선량악성결절적감별진단능력,결절적탄성평분≥3분시,기악성적가능성비상대.
Objective To discuss the clinical value of ultrasonic elastography for thyroid nodules,and compared with pathology.Methods 77 patients with 105 thyroid lesions were analyzed.Tissue stiffness on elastography was scored from one(greatest elastics train)to five (no strain).Results On elastography:scores 1 and 2 were found in 75％ benign lesions.Scores 3 to 5 were found in 97.4％ malignant lesions.There were statistically difference in the scores of elastography between the benign and malignant lesions (P ＜0.01).Conclusions The ultrasonic elastography had positive significance in differentiating benign and malignant thyroid nodules.If the score of elastography is more than or equal to 3,the thyroid nodule is highprobablely malignant.