陕西医学杂志
陝西醫學雜誌
협서의학잡지
SHAANXI MEDICAL JOURNAL
2015年
5期
576-579
,共4页
王云梅%李逢生%刘曙光%徐荣%梁秦龙%赵华
王雲梅%李逢生%劉曙光%徐榮%樑秦龍%趙華
왕운매%리봉생%류서광%서영%량진룡%조화
甲状腺肿瘤/超声检查%甲状腺肿瘤/放射摄影术%弹性成像%超声造影检查
甲狀腺腫瘤/超聲檢查%甲狀腺腫瘤/放射攝影術%彈性成像%超聲造影檢查
갑상선종류/초성검사%갑상선종류/방사섭영술%탄성성상%초성조영검사
Thyroid neoplasms/ultrasonography%Thyroid neoplasms/radiography%Contrast-en-hanced ultrasound%Ultrasonic elastography
目的:探讨弹性成像(UE)与超声造影(CEUS)两种检查技术对鉴别诊断甲状腺微小乳头状癌(PTMC)的价值。方法:对常规超声检测出且定性困难的98例109个甲状腺微小结节进行弹性成像及超声造影检查,所有结节均经手术病理证实。比较两种检查方法的准确性。结果:109个结节中超声造影诊断正确率为84.4%(92/109),其中8例恶性结节误诊为良性结节,11例良性结节误诊为恶性结节;弹性成像5分法诊断正确率为92.7%(101/109),其中3例恶性结节误诊为良性结节,5例良性结节误诊为恶性结节。弹性成像诊断甲状腺微小癌的敏感性95.38%,特异性88.64%,准确性92.86%;CEUS 诊断甲状腺微小癌的敏感性87.69%,特异性75%,准确性82. 57%。弹性成像和超声造影对 PTMC 的诊断的准确率比较有显著差异(P <0.05)。结论:超声造影和弹性成像对于诊断 PTMC 方面均有价值,但弹性成像≥3评分作为诊断 PTMC 的诊断价值高于超声造影。
目的:探討彈性成像(UE)與超聲造影(CEUS)兩種檢查技術對鑒彆診斷甲狀腺微小乳頭狀癌(PTMC)的價值。方法:對常規超聲檢測齣且定性睏難的98例109箇甲狀腺微小結節進行彈性成像及超聲造影檢查,所有結節均經手術病理證實。比較兩種檢查方法的準確性。結果:109箇結節中超聲造影診斷正確率為84.4%(92/109),其中8例噁性結節誤診為良性結節,11例良性結節誤診為噁性結節;彈性成像5分法診斷正確率為92.7%(101/109),其中3例噁性結節誤診為良性結節,5例良性結節誤診為噁性結節。彈性成像診斷甲狀腺微小癌的敏感性95.38%,特異性88.64%,準確性92.86%;CEUS 診斷甲狀腺微小癌的敏感性87.69%,特異性75%,準確性82. 57%。彈性成像和超聲造影對 PTMC 的診斷的準確率比較有顯著差異(P <0.05)。結論:超聲造影和彈性成像對于診斷 PTMC 方麵均有價值,但彈性成像≥3評分作為診斷 PTMC 的診斷價值高于超聲造影。
목적:탐토탄성성상(UE)여초성조영(CEUS)량충검사기술대감별진단갑상선미소유두상암(PTMC)적개치。방법:대상규초성검측출차정성곤난적98례109개갑상선미소결절진행탄성성상급초성조영검사,소유결절균경수술병리증실。비교량충검사방법적준학성。결과:109개결절중초성조영진단정학솔위84.4%(92/109),기중8례악성결절오진위량성결절,11례량성결절오진위악성결절;탄성성상5분법진단정학솔위92.7%(101/109),기중3례악성결절오진위량성결절,5례량성결절오진위악성결절。탄성성상진단갑상선미소암적민감성95.38%,특이성88.64%,준학성92.86%;CEUS 진단갑상선미소암적민감성87.69%,특이성75%,준학성82. 57%。탄성성상화초성조영대 PTMC 적진단적준학솔비교유현저차이(P <0.05)。결론:초성조영화탄성성상대우진단 PTMC 방면균유개치,단탄성성상≥3평분작위진단 PTMC 적진단개치고우초성조영。
Objective :To assess the diagnosis value of ultrasonic elastography(UE) and contrast‐enhanced ultrasound (CEUS) in thyroid papillary carcinoma (PTMC) .Methods :UE and CEUS were made on 98 cases of 109 thyroid nodules which were tested by conventional ultrasonic and difficult to diagnose .All nodules from operation were confirmed by pathologic examination .Accuracy of both ultrasonic methods was compared .Results :In these 109 nodules ,the accuracy rate of CEUS was 84 .4% (92/109) ,8 malignant nodules were misdiagnosed as benign , and 11 benign nodules were misdiagnosed as malignant .The accuracy of 5‐point scale criteria of UE was 92 .7%(101/109) ,3 malignant nodules were misdiagnosed as benign ,and 5 benign nodules were misdiagnosed as malig‐nant .UE in the diagnosis of PTMC displayed a sensitivity of 95 .38% ,a specificity of 88 .64% and an accuracy of 92 .86% .CEUS displayed a sensitivity of 87 .69% ,a specificity of 75% and an accuracy of 82 .57% .UE in the diag‐nosis of PTMC had a more significant advantage than CEUS .(P < 0 .05) Conclusion :Both CEUS and UE had ad‐vantage in diagnosis of PTMC .But using UE score ≥ 3 as criteria of diagnosis of PTMC had higher practical value .