中国现代药物应用
中國現代藥物應用
중국현대약물응용
Chinese Journal of Modern Drug Application
2015年
23期
5-6,7
,共3页
实时超声弹性成像%常规超声%甲状腺疾病
實時超聲彈性成像%常規超聲%甲狀腺疾病
실시초성탄성성상%상규초성%갑상선질병
Real-time ultrasound elastography%Conventional ultrasound%Thyroid disease
目的：探讨分析常规超声和实时超声弹性成像技术在甲状腺占位性疾病诊断方面的应用。方法127例甲状腺结节性疾病患者作为研究对象,在术前对甲状腺进行二维超声检查和弹性成像检查,术后对术中切除的甲状腺结节行病理检查证实。结果127例患者通过术前常规二维彩超共检出169个甲状腺结节,其中良性结节137个,恶性结节32个(其中1个为肺癌甲状腺转移),恶性组甲状腺结节的超声弹性图像等级显著高于良性组,差异具有统计学意义(Z=-3.790, P=0.000<0.05)。以等级≥3级为诊断界点,得出诊断的灵敏度、特异度及准确度分别为87.0%、81.9%、79.1%。结论实时超声弹性成像技术在甲状腺结节良恶性的鉴别诊断中具有重要意义。
目的：探討分析常規超聲和實時超聲彈性成像技術在甲狀腺佔位性疾病診斷方麵的應用。方法127例甲狀腺結節性疾病患者作為研究對象,在術前對甲狀腺進行二維超聲檢查和彈性成像檢查,術後對術中切除的甲狀腺結節行病理檢查證實。結果127例患者通過術前常規二維綵超共檢齣169箇甲狀腺結節,其中良性結節137箇,噁性結節32箇(其中1箇為肺癌甲狀腺轉移),噁性組甲狀腺結節的超聲彈性圖像等級顯著高于良性組,差異具有統計學意義(Z=-3.790, P=0.000<0.05)。以等級≥3級為診斷界點,得齣診斷的靈敏度、特異度及準確度分彆為87.0%、81.9%、79.1%。結論實時超聲彈性成像技術在甲狀腺結節良噁性的鑒彆診斷中具有重要意義。
목적：탐토분석상규초성화실시초성탄성성상기술재갑상선점위성질병진단방면적응용。방법127례갑상선결절성질병환자작위연구대상,재술전대갑상선진행이유초성검사화탄성성상검사,술후대술중절제적갑상선결절행병리검사증실。결과127례환자통과술전상규이유채초공검출169개갑상선결절,기중량성결절137개,악성결절32개(기중1개위폐암갑상선전이),악성조갑상선결절적초성탄성도상등급현저고우량성조,차이구유통계학의의(Z=-3.790, P=0.000<0.05)。이등급≥3급위진단계점,득출진단적령민도、특이도급준학도분별위87.0%、81.9%、79.1%。결론실시초성탄성성상기술재갑상선결절량악성적감별진단중구유중요의의。
Objective To investigate application of conventional ultrasound and real-time ultrasound elastography in diagnosis of thyroid space-occupying disease. Methods A total of 127 patients with thyroid nodules lesion as study subjects received two-dimensional ultrasound examination and elastography for thyroid before operation, as well as postoperative pathological identification of removal thyroid nodules lesion. Results Preoperative conventional two-dimensional ultrasound examination showed 169 thyroid nodules among 127 patient. There were 137 benign nodules and 32 malignant nodules (1 nodule as thyroid metastasis of lung cancer). The malignant group had obviously higher elastography image level of thyroid nodule than the benign group, and their difference had statistical significance (Z=-3.790, P=0.000<0.05). Diagnostic point was set as level ≥3 degree, which showed sensitivity, specificity, and accuracy of diagnosis as 87.0%, 81.9%, and 79.1%. Conclusion Real-time ultrasound elastography contains important significance in differential diagnosis of benign and malignant thyroid nodule.
