中外医疗
中外醫療
중외의료
China Foreign Medical Treatment
2015年
27期
167-168
,共2页
常规超声%超声弹性成像%甲状腺占位病变%效果观察
常規超聲%超聲彈性成像%甲狀腺佔位病變%效果觀察
상규초성%초성탄성성상%갑상선점위병변%효과관찰
Conventional ultrasound%Ultrasound elasticity imaging%Thyroid lesions%Effect observation
目的 探究常规超声与超声弹性成像联合应用于甲状腺占位病变诊断的临床效果. 方法 整群选取2011年2月-2014年3月该院收治的64例(96个病灶)甲状腺占位病变患者进行回顾性分析,按照数字法将患者分为对照组32例(48个病灶)行常规超声诊断,实验组32例(48个病灶)行常规超声联合超声弹性成像进行诊断,对患者临床诊断效果进行分析. 结果 经常规超声诊断,对照组32例患者(48个病灶)中,对比良性病变以及恶性病变的回声类型分析、后方回声变化情况以及是否有钙化现象、血流分布情况进行对比,差异有统计学意义(P<0.05). 实验组患者中,对比良性以及恶性结节病变影像学检查结果,差异有统计学意义(P<0.05),实验组患者的诊断准确率(93.75%)、敏感度(87.5%)以及特异度(100%)分别与对照组患者的诊断准确率(68.75%)、敏感度(75.0%)、特异度(81.25%)相比,差异有统计学意义(P<0.05). 结论 对甲状腺占位病变进行诊断时,应用常规超声联合超声弹性成像法能够使诊断准确率以及敏感度、特异度有效提升,具有较高的临床价值.
目的 探究常規超聲與超聲彈性成像聯閤應用于甲狀腺佔位病變診斷的臨床效果. 方法 整群選取2011年2月-2014年3月該院收治的64例(96箇病竈)甲狀腺佔位病變患者進行迴顧性分析,按照數字法將患者分為對照組32例(48箇病竈)行常規超聲診斷,實驗組32例(48箇病竈)行常規超聲聯閤超聲彈性成像進行診斷,對患者臨床診斷效果進行分析. 結果 經常規超聲診斷,對照組32例患者(48箇病竈)中,對比良性病變以及噁性病變的迴聲類型分析、後方迴聲變化情況以及是否有鈣化現象、血流分佈情況進行對比,差異有統計學意義(P<0.05). 實驗組患者中,對比良性以及噁性結節病變影像學檢查結果,差異有統計學意義(P<0.05),實驗組患者的診斷準確率(93.75%)、敏感度(87.5%)以及特異度(100%)分彆與對照組患者的診斷準確率(68.75%)、敏感度(75.0%)、特異度(81.25%)相比,差異有統計學意義(P<0.05). 結論 對甲狀腺佔位病變進行診斷時,應用常規超聲聯閤超聲彈性成像法能夠使診斷準確率以及敏感度、特異度有效提升,具有較高的臨床價值.
목적 탐구상규초성여초성탄성성상연합응용우갑상선점위병변진단적림상효과. 방법 정군선취2011년2월-2014년3월해원수치적64례(96개병조)갑상선점위병변환자진행회고성분석,안조수자법장환자분위대조조32례(48개병조)행상규초성진단,실험조32례(48개병조)행상규초성연합초성탄성성상진행진단,대환자림상진단효과진행분석. 결과 경상규초성진단,대조조32례환자(48개병조)중,대비량성병변이급악성병변적회성류형분석、후방회성변화정황이급시부유개화현상、혈류분포정황진행대비,차이유통계학의의(P<0.05). 실험조환자중,대비량성이급악성결절병변영상학검사결과,차이유통계학의의(P<0.05),실험조환자적진단준학솔(93.75%)、민감도(87.5%)이급특이도(100%)분별여대조조환자적진단준학솔(68.75%)、민감도(75.0%)、특이도(81.25%)상비,차이유통계학의의(P<0.05). 결론 대갑상선점위병변진행진단시,응용상규초성연합초성탄성성상법능구사진단준학솔이급민감도、특이도유효제승,구유교고적림상개치.
Objective To explore the clinical effect of combined conventional ultrasound and ultrasound elasticity imaging in diag-nosis of thyroid space-occupying lesion. Methods A retrospective analysis was carried out on 64 patients (96 lesions) with thyroid space-occupying lesion who were admitted to our hospital from February 2011 and March 2014. They were randomly divided into control group (32 patients, 48 lesions) receiving diagnosis by conventional ultrasound and experimental group (32 patients, 48 le-sions) undergoing diagnosis by ultrasound elasticity imaging. The outcomes were analyzed. Results The results of diagnosis by con-ventional ultrasound showed that in the 32 patients (48 lesions) in the control group, there were statistically significant differences between benign lesions and malignant lesions in echo pattern, changes of rear echo, calcification phenomenon, blood flow distribu-tion, P<0.05. In the experimental group, the results of diagnosis by ultrasound elasticity imaging showed that there were statistical-ly significant differences between benign lesions and malignant lesions(P<0.05). The diagnostic accuracy, sensitivity and specificity were 93.75%, 87.5%, 100%respectively in the experimental group and 68.75%, 75.0%, 81.25% respectively in the control group, and the differences between the two groups were statistically significant (P<0.05). Conclusion Combined conventional ultrasound and ultrasound elasticity imaging in diagnosis of thyroid space-occupying lesion can promote accuracy, sensitivity and specificity, therefore this method is of high clinical value.
