中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2015年
21期
60-63,66
,共5页
超声弹性成像%声辐射力脉冲成像%甲状腺实性结节
超聲彈性成像%聲輻射力脈遲成像%甲狀腺實性結節
초성탄성성상%성복사력맥충성상%갑상선실성결절
Ultrasound elastography%Acoustic radiation force impulse imaging%Thyroid solid nodule
目的：探讨超声弹性成像(UE)及声辐射力脉冲成像(ARFI)鉴别甲状腺实性结节良恶性的临床价值。方法2013年5月~2014年7月，选取102例(124个)甲状腺结节患者，并经术后病理证实的124个甲状腺实性结节，对其分别进行常规超声(CU)检查、UE检查、ARFI检查。UE选用弹性分级法，ARFI检测病灶组织的剪切波速度(SWV)。以病理诊断作为金标准，评价3种方法在甲状腺实性结节良恶性鉴别中的灵敏度、特异度及准确度；构建ROC曲线。结果曲线下面积(AUC)为0.960，SWV值最佳诊断点为2.89。诊断甲状腺恶性单发实性结节：CU、UE五级评分法及ARFI法SWV值的灵敏度、特异度分别为69.44%(25/36)、81.81%(72/88)；77.78%(28/36)、88.63%(78/88)；88.89%(32/36)、93.18%(82/88)。结论UE、ARFI技术均优于CU对甲状腺实性结节性质的判断，而ARFI技术的准确性较高，在鉴别甲状腺实性结节良恶性中有较高的临床价值。
目的：探討超聲彈性成像(UE)及聲輻射力脈遲成像(ARFI)鑒彆甲狀腺實性結節良噁性的臨床價值。方法2013年5月~2014年7月，選取102例(124箇)甲狀腺結節患者，併經術後病理證實的124箇甲狀腺實性結節，對其分彆進行常規超聲(CU)檢查、UE檢查、ARFI檢查。UE選用彈性分級法，ARFI檢測病竈組織的剪切波速度(SWV)。以病理診斷作為金標準，評價3種方法在甲狀腺實性結節良噁性鑒彆中的靈敏度、特異度及準確度；構建ROC麯線。結果麯線下麵積(AUC)為0.960，SWV值最佳診斷點為2.89。診斷甲狀腺噁性單髮實性結節：CU、UE五級評分法及ARFI法SWV值的靈敏度、特異度分彆為69.44%(25/36)、81.81%(72/88)；77.78%(28/36)、88.63%(78/88)；88.89%(32/36)、93.18%(82/88)。結論UE、ARFI技術均優于CU對甲狀腺實性結節性質的判斷，而ARFI技術的準確性較高，在鑒彆甲狀腺實性結節良噁性中有較高的臨床價值。
목적：탐토초성탄성성상(UE)급성복사력맥충성상(ARFI)감별갑상선실성결절량악성적림상개치。방법2013년5월~2014년7월，선취102례(124개)갑상선결절환자，병경술후병리증실적124개갑상선실성결절，대기분별진행상규초성(CU)검사、UE검사、ARFI검사。UE선용탄성분급법，ARFI검측병조조직적전절파속도(SWV)。이병리진단작위금표준，평개3충방법재갑상선실성결절량악성감별중적령민도、특이도급준학도；구건ROC곡선。결과곡선하면적(AUC)위0.960，SWV치최가진단점위2.89。진단갑상선악성단발실성결절：CU、UE오급평분법급ARFI법SWV치적령민도、특이도분별위69.44%(25/36)、81.81%(72/88)；77.78%(28/36)、88.63%(78/88)；88.89%(32/36)、93.18%(82/88)。결론UE、ARFI기술균우우CU대갑상선실성결절성질적판단，이ARFI기술적준학성교고，재감별갑상선실성결절량악성중유교고적림상개치。
Objective To investigate the clinical value of ultrasound elastography (UE) and acoustic radiation force im-pulse (ARFI) in the identification of innocuousness and malignancy of thyroid solid nodule. Methods From May 2013 to July 2014,102 patients (124) with thyroid nodule and confirmed by postoperative pathology were selected,and they were given conventional ultrasonography (CU) examination,UE examination and ARFI detection respectively.Elastic classification method was applied in UE,shear wave velocity (SWV) of lesion tissue was detected by ARFI.Pathological diagnosis was used as the gold standard to evaluate sensitivity,specificity and accuracy of 3 methods in the identifica-tion of innocuousness and malignancy of thyroid solid nodule;ROC curve was constructed. Results Area under curve (AUC) was 0.960,optimal diagnostic point of SWV value was 2.89.Diagnosis of thyroid malignant solitary solid nodule:sensitivity,specificity of CU,scoring method of UE five grade and SWV value for ARFI method was 69.44% (25/36), 81.81%(72/88);77.78%(28/36),88.63% (78/88);88.89% (32/36),93.18% (82/88) respectively. Conclusion UE technolo-gy and ARFI technology is superior to CU for judgement of thyroid solid nodule’nature,but accuracy of ARFI technolo-gy is higher,and has high clinical value in the identification of innocuousness and malignancy of thyroid solid nodule.
