CAJ | 학술논문

目的：探讨超声弹性成像（ultrasonic elastography ，UE）和PET／CT检查及两者联合应用对甲状腺癌的诊断价值。方法经手术病理确诊的78例患者92个甲状腺癌结节，回顾性分析其术前 UE和 PET／CT 影像学特征，比较UE和PET／CT 及两者联合应用对甲状腺癌的诊断准确性。结果 UE和 PET／CT 及两者联合诊断准确性分别为85.9％，73．9％，93．5％。UE诊断甲状腺癌的准确性高于PET／CT（ P ＜0．05），两者联合应用的诊断准确性高于UE（ P＜0．05）或PET／CT单独应用（ P ＝0．000）。结论 UE对甲状腺癌的诊断准确性高于PET／CT ，两者各有优缺点，联合应用对提高甲状腺癌的诊断准确性有较大帮助。
목적：탐토초성탄성성상（ultrasonic elastography ，UE）화PET／CT검사급량자연합응용대갑상선암적진단개치。방법경수술병리학진적78례환자92개갑상선암결절，회고성분석기술전 UE화 PET／CT 영상학특정，비교UE화PET／CT 급량자연합응용대갑상선암적진단준학성。결과 UE화 PET／CT 급량자연합진단준학성분별위85.9％，73．9％，93．5％。UE진단갑상선암적준학성고우PET／CT（ P ＜0．05），량자연합응용적진단준학성고우UE（ P＜0．05）혹PET／CT단독응용（ P ＝0．000）。결론 UE대갑상선암적진단준학성고우PET／CT ，량자각유우결점，연합응용대제고갑상선암적진단준학성유교대방조。
Objective To explore the value of ultrasonic elastography (UE) and PET/CT in diagnosing thyroid cancer . Methods 78 patients with 92 thyroid cancer lesions confirmed by pathology were retrospectively studied .All the patients underwent UE and PET/CT ,the accuracy between UE ,PET/CT and the combination of the two were compared .Results The accuracy of UE ,PET/CT and the combination of the two was 85 .9% ,73 .9% ,93 .5% ,respectively .Significant difference existed in dignosing thyroid cancer between UE and PET/CT .The accuracy of combination of the two was sig‐nificantly higher than either UE or PET/CT .Conclusion UE was more accuracy than PET/CT in diagnosing thyroid cancer ,the both methods complement each other and it can be a great help for improving the accuracy of preoperative diag‐nosing by combining the two .