中国医药导报
中國醫藥導報
중국의약도보
CHINA MEDICAL HERALD
2014年
29期
76-79
,共4页
张忱%胡水平%于晶%张敏
張忱%鬍水平%于晶%張敏
장침%호수평%우정%장민
高频超声%弹性成像%超声造影%甲状腺%良恶性结节
高頻超聲%彈性成像%超聲造影%甲狀腺%良噁性結節
고빈초성%탄성성상%초성조영%갑상선%량악성결절
High frequency ultrasonic%Elastography%Ultrasound contrast%Thyroid%Benign and malignant nodules
目的：探讨高频超声、弹性成像及超声造影对甲状腺良恶性结节诊断结果情况。方法分析抚顺市中心医院超声科2012年5月~2014年6月甲状腺结节患者168例的临床资料，分别通过高频超声、弹性成像及超声造影检查，100例良性结节，68例恶性结节。结果高频超声声像图在良恶性鉴别有意义的是病变内部结构、内部回声情况、形状、边界清晰度、周边声晕规则性、钙化程度(均P<0.05)。良性结节弹性成像分级Ⅰ、Ⅱ级比例(90.0%)明显高于恶性结节(14.7%)，良性结节弹性成像分级Ⅲ、Ⅳ级比例(10.0%)明显低于恶性结节(85.3%)，实性病变内部结构、低回声、不规则形状、不清晰边界、不规则周边声晕、微钙化声像图特征是区别良恶性重要的指标，良性甲状腺结节不均匀增强模式比例(10.0%)明显低于恶性结节(75.0%)，良性甲状腺结节环形增强(65.0%)明显高于恶性结节(1.5%)，差异均有统计学意义(P<0.05)。结论高频超声、弹性成像及超声造影对甲状腺良恶性结节诊断具有重要的价值，可以为甲状腺良恶性结节鉴别诊断提供可靠的理论依据。
目的：探討高頻超聲、彈性成像及超聲造影對甲狀腺良噁性結節診斷結果情況。方法分析撫順市中心醫院超聲科2012年5月~2014年6月甲狀腺結節患者168例的臨床資料，分彆通過高頻超聲、彈性成像及超聲造影檢查，100例良性結節，68例噁性結節。結果高頻超聲聲像圖在良噁性鑒彆有意義的是病變內部結構、內部迴聲情況、形狀、邊界清晰度、週邊聲暈規則性、鈣化程度(均P<0.05)。良性結節彈性成像分級Ⅰ、Ⅱ級比例(90.0%)明顯高于噁性結節(14.7%)，良性結節彈性成像分級Ⅲ、Ⅳ級比例(10.0%)明顯低于噁性結節(85.3%)，實性病變內部結構、低迴聲、不規則形狀、不清晰邊界、不規則週邊聲暈、微鈣化聲像圖特徵是區彆良噁性重要的指標，良性甲狀腺結節不均勻增彊模式比例(10.0%)明顯低于噁性結節(75.0%)，良性甲狀腺結節環形增彊(65.0%)明顯高于噁性結節(1.5%)，差異均有統計學意義(P<0.05)。結論高頻超聲、彈性成像及超聲造影對甲狀腺良噁性結節診斷具有重要的價值，可以為甲狀腺良噁性結節鑒彆診斷提供可靠的理論依據。
목적：탐토고빈초성、탄성성상급초성조영대갑상선량악성결절진단결과정황。방법분석무순시중심의원초성과2012년5월~2014년6월갑상선결절환자168례적림상자료，분별통과고빈초성、탄성성상급초성조영검사，100례량성결절，68례악성결절。결과고빈초성성상도재량악성감별유의의적시병변내부결구、내부회성정황、형상、변계청석도、주변성훈규칙성、개화정도(균P<0.05)。량성결절탄성성상분급Ⅰ、Ⅱ급비례(90.0%)명현고우악성결절(14.7%)，량성결절탄성성상분급Ⅲ、Ⅳ급비례(10.0%)명현저우악성결절(85.3%)，실성병변내부결구、저회성、불규칙형상、불청석변계、불규칙주변성훈、미개화성상도특정시구별량악성중요적지표，량성갑상선결절불균균증강모식비례(10.0%)명현저우악성결절(75.0%)，량성갑상선결절배형증강(65.0%)명현고우악성결절(1.5%)，차이균유통계학의의(P<0.05)。결론고빈초성、탄성성상급초성조영대갑상선량악성결절진단구유중요적개치，가이위갑상선량악성결절감별진단제공가고적이론의거。
Objective To approach diagnosis of thyroid benign and malignant nodules by high frequency ultrasonic, e-lastography, ultrasound contrast. Methods Clinical data of 168 cases with thyroid benign and malignant nodules in De-partment of Ultrasound in Fushun Central Hospital from May 2012 to June 2014 was observed by high frequency ultra-sonic, elastography, ultrasound contrast. Benign nodules were 100 cases, Malignant nodules were 68 cases. Results The identify meaningful of benign and malignancy in high frequency ultrasonic ultrasonographic, which was interior struc-ture, echo, shape, boundary definition, acoustic halo surrounding the regularity, calcification degree (P< 0.05). The E-lasticity imaging classificationⅠ,II proportion of benign nodules (90.0%) was higher than malignant nodules (14.7%), the elasticity imaging classification Ⅲ, Ⅳ proportion of benign nodules (10.0%) was higher than malignant nodules (85.3%), internal structure of solid lesions, low echo-level, irregular shape, in-defined boundary, irregular peripheral halo, micro calcification sonographic features were important index in difference between benign and malignant. The diagnostic observation of thyroid benign and malignant nodules by high frequency ultrasonic, elastography, ultrasound contrast were different between benign and malignant important indicator. Uneven enhancement pattern of benign thy-roid nodules (10.0%) were lower than malignant nodules (75.0%), annular enhancement of benign thyroid nodules (65.0%) were higher than malignant nodules (1.5%), the differences were statistically significant (P<0.05). Conclusion The diagnostic observation of thyroid benign and malignant nodules by high frequency ultrasonic, elastography, ultra-sound contrast has an important value, which is to be provided reliable theory basis for differential diagnosis of thyroid benign and malignant nodules.
