当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2013年
20期
118-119
,共2页
实时超声弹性成像%超声检查%甲状腺占位性疾病
實時超聲彈性成像%超聲檢查%甲狀腺佔位性疾病
실시초성탄성성상%초성검사%갑상선점위성질병
Real-time elastography%Ultrasonography%Thyroid space-occupying nodules
目的对比研究实时超声弹性成像技术与常规超声在甲状腺占位性疾病诊断方面的应用。方法2010年3月-2012年12月对90例甲状腺结节患者先后进行常规超声与实时组织弹性成像检查判断甲状腺占位性病灶的良恶性，对两种技术做评价并进一步对占位结节分组，结节大小以2.0 cm为界限分别分析其弹性成像的差异，探讨其临床价值，所有结果均经手术后病理或细针抽吸细胞学证实。实时超声弹性成像技术采用0-VI级评级法对弹性图像评级。结果良性病变共96个，结节性甲状腺肿64个，甲状腺腺瘤25个，亚急性甲状腺炎7个。恶性病变19个，乳头状腺癌13个，滤泡状腺癌6个。常规超声诊断良恶性的准确性82.6%，敏感性68.4%，特异性85.4%，常规超声诊断结节的良恶性的准确性与病理结果对比无显著性差异，χ2检验=3.20，按照α=0.05，P＞0.05；超声弹性成像技术诊断准确性86.1%，敏感性73.7%，特异性88.5%，超声弹性成像诊断结节的良恶性的准确性与病理结果对比无显著性差异χ2检验=2.25，按照α=0.05，P＞0.05；以上提示常规超声与弹性成像技术都能对甲状腺占位结节的良恶性做出较准确的判断。进一步应用超声弹性成像按照结节大小进行分组判断良恶性方面，小结节组诊断的敏感性较大结节组相比，统计数据显示χ2检验=0.046，按照α=0.05， P＜0.05，具有显著性差异。结论实时超声弹性成像技术应用组织硬度判断甲状腺结节良恶性，与常规超声检查的结合为临床提供了更多的组织信息，超声弹性成像对甲状腺小结节占位性病灶良恶性的敏感性更好。
目的對比研究實時超聲彈性成像技術與常規超聲在甲狀腺佔位性疾病診斷方麵的應用。方法2010年3月-2012年12月對90例甲狀腺結節患者先後進行常規超聲與實時組織彈性成像檢查判斷甲狀腺佔位性病竈的良噁性，對兩種技術做評價併進一步對佔位結節分組，結節大小以2.0 cm為界限分彆分析其彈性成像的差異，探討其臨床價值，所有結果均經手術後病理或細針抽吸細胞學證實。實時超聲彈性成像技術採用0-VI級評級法對彈性圖像評級。結果良性病變共96箇，結節性甲狀腺腫64箇，甲狀腺腺瘤25箇，亞急性甲狀腺炎7箇。噁性病變19箇，乳頭狀腺癌13箇，濾泡狀腺癌6箇。常規超聲診斷良噁性的準確性82.6%，敏感性68.4%，特異性85.4%，常規超聲診斷結節的良噁性的準確性與病理結果對比無顯著性差異，χ2檢驗=3.20，按照α=0.05，P＞0.05；超聲彈性成像技術診斷準確性86.1%，敏感性73.7%，特異性88.5%，超聲彈性成像診斷結節的良噁性的準確性與病理結果對比無顯著性差異χ2檢驗=2.25，按照α=0.05，P＞0.05；以上提示常規超聲與彈性成像技術都能對甲狀腺佔位結節的良噁性做齣較準確的判斷。進一步應用超聲彈性成像按照結節大小進行分組判斷良噁性方麵，小結節組診斷的敏感性較大結節組相比，統計數據顯示χ2檢驗=0.046，按照α=0.05， P＜0.05，具有顯著性差異。結論實時超聲彈性成像技術應用組織硬度判斷甲狀腺結節良噁性，與常規超聲檢查的結閤為臨床提供瞭更多的組織信息，超聲彈性成像對甲狀腺小結節佔位性病竈良噁性的敏感性更好。
목적대비연구실시초성탄성성상기술여상규초성재갑상선점위성질병진단방면적응용。방법2010년3월-2012년12월대90례갑상선결절환자선후진행상규초성여실시조직탄성성상검사판단갑상선점위성병조적량악성，대량충기술주평개병진일보대점위결절분조，결절대소이2.0 cm위계한분별분석기탄성성상적차이，탐토기림상개치，소유결과균경수술후병리혹세침추흡세포학증실。실시초성탄성성상기술채용0-VI급평급법대탄성도상평급。결과량성병변공96개，결절성갑상선종64개，갑상선선류25개，아급성갑상선염7개。악성병변19개，유두상선암13개，려포상선암6개。상규초성진단량악성적준학성82.6%，민감성68.4%，특이성85.4%，상규초성진단결절적량악성적준학성여병리결과대비무현저성차이，χ2검험=3.20，안조α=0.05，P＞0.05；초성탄성성상기술진단준학성86.1%，민감성73.7%，특이성88.5%，초성탄성성상진단결절적량악성적준학성여병리결과대비무현저성차이χ2검험=2.25，안조α=0.05，P＞0.05；이상제시상규초성여탄성성상기술도능대갑상선점위결절적량악성주출교준학적판단。진일보응용초성탄성성상안조결절대소진행분조판단량악성방면，소결절조진단적민감성교대결절조상비，통계수거현시χ2검험=0.046，안조α=0.05， P＜0.05，구유현저성차이。결론실시초성탄성성상기술응용조직경도판단갑상선결절량악성，여상규초성검사적결합위림상제공료경다적조직신식，초성탄성성상대갑상선소결절점위성병조량악성적민감성경호。
Objective To compare real-time elastography with conventional ultrasonography in diagnosis of thyroid space-occupying nodules. Methods From March 2010 to December 2012, 90 cases with thyroid nodules were examined both conventional ultrasonic imaging and real-time tissue elastography. We combined the two techniques to determine the benign or malignant nodules and then discussed its clinical value. All results were conifrmed by postoperative pathology or ifne-needle aspiration cytology. Elastic sonograms were classiifed into 5 grades (0-VI grade). Results Benign lesions 96, nodular strumous 64, thyroid tumor 25, subacute thyroid inlfammation 7. Malignant lesions 19, papillary carcinoma 13, follicular carcinoma 6. The accuracy, sensitivity and speciifcity of conventional ultrasound diagnosis respectively were 82.6%, 68.4%and 85.4%. Chi-square=3.20, according toα=0.05, P>0.05. The accuracy, sensitivity and speciifcity of ultrasound elastography diagnosis respectively were 86.1%, 73.7%and 88.5%. Chi-square test=2.25, according toα=0.05, P>0.05.Above suggests conventional ultrasonography and elastography technology can on of benign and malignant thyroid nodules occupied it make more accurate judgment. Further application of ultrasonic elastography in accordance with the group judgment in benign and malignant nodule size, nodules diagnosis group compared the sensitivity of the larger nodules group, according to chi-square test=0.046, according to theα=0.05, P<0.05, with signiifcant difference. Conclusion Real-time tissue elastography imaging revealed the basic property of organization’s hardness and combined with conventional ultrasonic inspection could provide more information. This new technology will improve the nodular disease diagnosis.
