CAJ | 학술논문

目的：探讨超声弹性成像诊断甲状腺结节的价值。方法选取我院2014年10月～2015年4月收治的74例甲状腺结节患者的92个甲状腺结节进行常规超声和超声弹性成像检查，并进行硬度分级，计算所有患者的病灶弹性成像和灰阶声像的面积比值，对比诊断结果和手术后病理结果。结果甲状腺恶性结节患者的弹性成像硬度评分高于良性结节患者，且恶性结节患者的弹性成像图与灰阶声像图的面积比值高于良性病灶，P＜0.05，差异均具有统计学意义。结论超声弹性成像硬度分级可以辅助判断甲状腺结节的相对硬度，结合结节弹性成像和灰阶声像的面积比值，有助于鉴别诊断甲状腺结节的良恶性。
목적：탐토초성탄성성상진단갑상선결절적개치。방법선취아원2014년10월～2015년4월수치적74례갑상선결절환자적92개갑상선결절진행상규초성화초성탄성성상검사，병진행경도분급，계산소유환자적병조탄성성상화회계성상적면적비치，대비진단결과화수술후병리결과。결과갑상선악성결절환자적탄성성상경도평분고우량성결절환자，차악성결절환자적탄성성상도여회계성상도적면적비치고우량성병조，P＜0.05，차이균구유통계학의의。결론초성탄성성상경도분급가이보조판단갑상선결절적상대경도，결합결절탄성성상화회계성상적면적비치，유조우감별진단갑상선결절적량악성。
Objective To investigate the value of ultrasound elastography in diagnosis of thyroid nodules.Methods Selected 74 cases of thyroid nodules in patients who had 92 thyroid nodules from October 2014 to April 2015 in our hospital with routine ultrasound and elastography examination, and hardness grade, elastography lesion area ratio calculated in all patients and gray scale ultrasonography and contrast diagnosis and pathological ifndings after surgery.ResultsThe patients with malignant thyroid nodules elastography hardness rating higher than in patients with benign nodules and malignant nodules in patients with elastography map and area ratio gray scale sonographic higher than benign lesions,P<0.05, had difference statistically significance.Conclusion Ultrasound Elastography can assist in judging the hardness grade relative hardness of thyroid nodules, nodules bonded area ratio and grayscale sonographic elastography, and contribute to the differential diagnosis of benign and malignant thyroid nodules.