东南大学学报（医学版）
東南大學學報（醫學版）
동남대학학보（의학판）
JOURNAL OF SOUTHEAST UNIVERSITY(MEDICAL SCIENCE EDITION)
2014年
3期
296-299
,共4页
赵炎斌%刘方舟%张园%虞同华
趙炎斌%劉方舟%張園%虞同華
조염빈%류방주%장완%우동화
甲状腺%超声弹性成像%CT%病理诊断
甲狀腺%超聲彈性成像%CT%病理診斷
갑상선%초성탄성성상%CT%병리진단
thyroid%ultrasonographic elastography%CT%pathological diagnosis
目的：探讨术前超声弹性成像及CT检查对甲状腺肿物性质判断与甲状腺术后病理结果的相关性。方法：收集2012年9月至2013年6月江苏省肿瘤医院住院并行术后病理学检查的62例患者共75枚甲状腺结节的临床数据，分别对甲状腺超声弹性成像、CT检查结果及术后病理结果进行总结分析，根据超声弹性分级及CT结果初步判断甲状腺肿物的性质，并与术中对结节性状的观察及术后的病理结果进行对比分析。结果：75枚甲状腺结节中，良性30枚，恶性45枚，超声弹性成像判断良性结节误诊率为36．67％，判断恶性结节误诊率15．56％，总误诊率24．0％。 CT检查中有12枚结节判断错误，误诊率为57．14％，对于微小乳头状癌判断误诊率大于50％。结论：超声弹性成像对判断甲状腺良恶性结节具有较高的敏感度和特异度，对恶性肿瘤的判断，特别是对甲状腺微小癌判断的准确率要明显高于CT检查，甲状腺肿物超声弹性成像可作为甲状腺术前的常规检查。
目的：探討術前超聲彈性成像及CT檢查對甲狀腺腫物性質判斷與甲狀腺術後病理結果的相關性。方法：收集2012年9月至2013年6月江囌省腫瘤醫院住院併行術後病理學檢查的62例患者共75枚甲狀腺結節的臨床數據，分彆對甲狀腺超聲彈性成像、CT檢查結果及術後病理結果進行總結分析，根據超聲彈性分級及CT結果初步判斷甲狀腺腫物的性質，併與術中對結節性狀的觀察及術後的病理結果進行對比分析。結果：75枚甲狀腺結節中，良性30枚，噁性45枚，超聲彈性成像判斷良性結節誤診率為36．67％，判斷噁性結節誤診率15．56％，總誤診率24．0％。 CT檢查中有12枚結節判斷錯誤，誤診率為57．14％，對于微小乳頭狀癌判斷誤診率大于50％。結論：超聲彈性成像對判斷甲狀腺良噁性結節具有較高的敏感度和特異度，對噁性腫瘤的判斷，特彆是對甲狀腺微小癌判斷的準確率要明顯高于CT檢查，甲狀腺腫物超聲彈性成像可作為甲狀腺術前的常規檢查。
목적：탐토술전초성탄성성상급CT검사대갑상선종물성질판단여갑상선술후병리결과적상관성。방법：수집2012년9월지2013년6월강소성종류의원주원병행술후병이학검사적62례환자공75매갑상선결절적림상수거，분별대갑상선초성탄성성상、CT검사결과급술후병리결과진행총결분석，근거초성탄성분급급CT결과초보판단갑상선종물적성질，병여술중대결절성상적관찰급술후적병리결과진행대비분석。결과：75매갑상선결절중，량성30매，악성45매，초성탄성성상판단량성결절오진솔위36．67％，판단악성결절오진솔15．56％，총오진솔24．0％。 CT검사중유12매결절판단착오，오진솔위57．14％，대우미소유두상암판단오진솔대우50％。결론：초성탄성성상대판단갑상선량악성결절구유교고적민감도화특이도，대악성종류적판단，특별시대갑상선미소암판단적준학솔요명현고우CT검사，갑상선종물초성탄성성상가작위갑상선술전적상규검사。
Objective: To compare the clinical and pathological relationship between the preoperative ultrasonographic elastography and CT examination and postoperative pathologic results of thyroid carcinoma . Methods:62 cases of postoperative pathologic and totally 75 clinical data of thyroid nodule of ultrasonographic elasticity imaging examination , CT findings with clinical and pathological data were analysised retrospectively in our hospital between 2012.9 and 2013.6.According to the results of ultrasonographic elasticity classification and CT results, the character of thyroid neoplasm was preliminarily judged , and in addition , intraoperative observation of the nodule characteristics and postoperative pathological results were retrospectively analyzed .Results: It was 36 .67% of misdiagnosis rate of ultrasonographic elasticity imaging in judging benign nodule , 15 .56% of misdiagnosis rate in judging malignant nodules , and total misdiagnosis rate was 24.0%.However, It was 57.14%of misdiagnosis rate of CT examination in judging thyroid nodule , and the total misdiagnosis rate was more than 50% in judging tiny papillary carcinoma .Conclusion:Ultrasonographic elasticity imaging have high sensitivity and specificity degrees in judgement of malignant tumor , especially in tiny papillary carcinoma , which is significantly higher than that of CT examination .For thyroid nodules , in order to increase the accurate rate of diagnosis , ultrasonographic elastography can be used as routine examination of thyroid nodules .
