CAJ | 학술논문

目的：探讨声脉冲辐射力成像在甲状腺结节中的诊断价值。方法选择2012年7月—2013年7月在该院拟行手术治疗的45例甲状腺结节患者,根据病理分析结果分为良性组65例和恶性组38枚,所有患者接受VTQ检查,并计算SWV均值。结果该研究中,ROI深度5~37mm,平均(17.8±6.8)mm；VTQ检测结果显示,恶性组及各病理分型SWV值均显著高于良性组(P<0.05),两组间周围组织SWV值差异无统计学意义(P>0.05)。绘制VTQ检测ROC曲线,VTQ检测最佳临界值为3.25m/s,相应敏感度为88%,特异度为72%。结论VTQ可以作为甲状腺结节良恶性的诊断依据之一,虽然目前技术上还存在一定局限,但是随着设备的发展,VTQ会在颈部淋巴结诊断中发挥重要的作用。
목적：탐토성맥충복사력성상재갑상선결절중적진단개치。방법선택2012년7월—2013년7월재해원의행수술치료적45례갑상선결절환자,근거병리분석결과분위량성조65례화악성조38매,소유환자접수VTQ검사,병계산SWV균치。결과해연구중,ROI심도5~37mm,평균(17.8±6.8)mm；VTQ검측결과현시,악성조급각병리분형SWV치균현저고우량성조(P<0.05),량조간주위조직SWV치차이무통계학의의(P>0.05)。회제VTQ검측ROC곡선,VTQ검측최가림계치위3.25m/s,상응민감도위88%,특이도위72%。결론VTQ가이작위갑상선결절량악성적진단의거지일,수연목전기술상환존재일정국한,단시수착설비적발전,VTQ회재경부림파결진단중발휘중요적작용。
Objective?To?investigate?the?value?of?acoustic?radiation?force?imaging?in?diagnosis?of?thyroid?nodules.?Method?Choice?45?patient?from2012.7?to?2013.7?who?take?operative?treatment,?65?cases?of?benign?group?and?malignant?group?38?cases.??The?entire?patients?take?VTQ?check?and?calculate?SWV?value.?Result?In?the?study?group,?ROI?depth?of?5?~?37mm,?average?(17.8?+?6.8)?mm;?VTQ?test?results?showed?that?the?malignant?group?and?different?pathological?type?SWV?value?were?significantly?higher?than?those?in?benign?group?(P<0.05)?between?the?two?groups?in?the?surrounding?tissue,?no?significant?difference?between?SWV?values?(P>0.05).?To?draw?the?VTQ?detection?of?ROC?curve,?the?optimal?VTQ?detection?critical?value?is?3.25m/s,?the?corresponding?sensitivity?was?88%,?specificity?was?72%.?Conclusion?VTQ?can?be?used?as?one?of?the?basis?of?diagnosis?of?malignant?and?benign?thyroid?nodules,?although?technically?there?are?still?certain?limitations,?but?with?the?development?of?equipment,?VTQ?will?play?an?important?role?in?the?diagnosis?of?cervical?lymph?node.