CAJ | 학술논문

目的：对常规超声联合弹性成像检查甲状腺癌的敏感因素进行多元回归分析，得出有效超声检出甲状腺癌的敏感因素。方法506例患者共804个结节依次进行常规超声联合弹性成像检查。采集内部回声、边界、声晕、纵横比、结节内钙化、声衰、内部血流、弹性评分等8个方面的信息，并与病理结果对照，将9个变量数字编码后进行Logistic多元回归分析。结果804个结节中301个为恶性结节，503个良性结节，常规超声联合弹性成像中内部回声、边界、声晕、纵横比、结节内钙化、声衰、内部血流、弹性评分8个因素与病理的回归分析后，差异有高度统计学意义(P＜0.01)。结论常规超声与弹性成像中内部回声、边界、声晕、纵横比、结节内钙化、声衰、内部血流、弹性评分8个特征因素对甲状腺癌诊断与病理相符性好，具有一定的应用价值。
목적：대상규초성연합탄성성상검사갑상선암적민감인소진행다원회귀분석，득출유효초성검출갑상선암적민감인소。방법506례환자공804개결절의차진행상규초성연합탄성성상검사。채집내부회성、변계、성훈、종횡비、결절내개화、성쇠、내부혈류、탄성평분등8개방면적신식，병여병리결과대조，장9개변량수자편마후진행Logistic다원회귀분석。결과804개결절중301개위악성결절，503개량성결절，상규초성연합탄성성상중내부회성、변계、성훈、종횡비、결절내개화、성쇠、내부혈류、탄성평분8개인소여병리적회귀분석후，차이유고도통계학의의(P＜0.01)。결론상규초성여탄성성상중내부회성、변계、성훈、종횡비、결절내개화、성쇠、내부혈류、탄성평분8개특정인소대갑상선암진단여병리상부성호，구유일정적응용개치。
Objective To obtain the sensitivity factors of thyroid cancer through multiple regression analysis of the thyroid cancer sensi-tivity factors w ith conventional ultrasound and elasticity imaging .Methods 804 nodule of 506 sufferers w ere in turn checked w ith conven-tional ultrasound and elasticity imaging.Eight aspects of information w ere collected in terms of internal echo,nodule border,acoustic halo, aspect ratio,nodular calcification,acoustic failure,internal flow ,and elasticity rating,w hich w ere compared w ith the pathological results, then nine variable figures w ere given digital coding for L ogistic multiple regression analysis.Results 804 nodules w ere composed of 301 malignant nodules and 503 benign nodules.A fter the multiple regression analysis of eight factors of internal echo,nodule border,acoustic halo,aspect ratio,nodular calcification,acoustic failure,internal flow ,and elasticity rating,as well as the pathological results,the differ-ences w ere of high statistical significance (P<0 .01 ).Conclusion The eight characteristic factors of internal echo ,nodule border,acoustic halo,aspect ratio,nodular calcification,acoustic failure,internal flow ,and elasticity rating by means of conventional ultrasound and elastici-ty imaging quite conformto thyroid cancer diagnosis and pathology,w hich is of certain application value.