中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2014年
28期
61-62,65
,共3页
甲状腺结节%良恶性%超声实时弹性成像%鉴别
甲狀腺結節%良噁性%超聲實時彈性成像%鑒彆
갑상선결절%량악성%초성실시탄성성상%감별
Thyroid nodules%Benign and malignant%Real-time ultrasound elastography%Identification
目的：研究超声实时弹性成像在鉴别甲状腺良恶性结节的效果及应用价值。方法随机在该院选择200例(232个结节)患者有甲状腺疾病的患者，采用常规超声及超声实时弹性成像两种方法检测结节的良恶性，在两种鉴别方法鉴别之后，根据最后病理结果将结节分为良恶性两组，并将结果与两种方法检测结果对比，了解超声实时弹性成像在诊断甲状腺结节良恶性中的价值。结果根据所得结果可知，按照弹性分级以≤Ⅱ级为良性结节，弹性分级以≥Ⅲ级为恶性结节，超声实时弹性成像在鉴别良恶性结节的准确率为90.95%，常规超声的准确率为62.93%，相比差异有统计学意义(P<0.05)。超声弹性分级诊断的敏感度﹑特异度分别为85.19%﹑94.04%，与常规组的26.51%﹑77.99%相比差异有统计学意义(P<0.05)。结论超声实时弹性成像诊断甲状腺良恶性结节准确性高，此技术在临床上可减少对病理检测的依赖，减轻患者痛苦，无创的鉴别良恶性，可推荐。
目的：研究超聲實時彈性成像在鑒彆甲狀腺良噁性結節的效果及應用價值。方法隨機在該院選擇200例(232箇結節)患者有甲狀腺疾病的患者，採用常規超聲及超聲實時彈性成像兩種方法檢測結節的良噁性，在兩種鑒彆方法鑒彆之後，根據最後病理結果將結節分為良噁性兩組，併將結果與兩種方法檢測結果對比，瞭解超聲實時彈性成像在診斷甲狀腺結節良噁性中的價值。結果根據所得結果可知，按照彈性分級以≤Ⅱ級為良性結節，彈性分級以≥Ⅲ級為噁性結節，超聲實時彈性成像在鑒彆良噁性結節的準確率為90.95%，常規超聲的準確率為62.93%，相比差異有統計學意義(P<0.05)。超聲彈性分級診斷的敏感度﹑特異度分彆為85.19%﹑94.04%，與常規組的26.51%﹑77.99%相比差異有統計學意義(P<0.05)。結論超聲實時彈性成像診斷甲狀腺良噁性結節準確性高，此技術在臨床上可減少對病理檢測的依賴，減輕患者痛苦，無創的鑒彆良噁性，可推薦。
목적：연구초성실시탄성성상재감별갑상선량악성결절적효과급응용개치。방법수궤재해원선택200례(232개결절)환자유갑상선질병적환자，채용상규초성급초성실시탄성성상량충방법검측결절적량악성，재량충감별방법감별지후，근거최후병리결과장결절분위량악성량조，병장결과여량충방법검측결과대비，료해초성실시탄성성상재진단갑상선결절량악성중적개치。결과근거소득결과가지，안조탄성분급이≤Ⅱ급위량성결절，탄성분급이≥Ⅲ급위악성결절，초성실시탄성성상재감별량악성결절적준학솔위90.95%，상규초성적준학솔위62.93%，상비차이유통계학의의(P<0.05)。초성탄성분급진단적민감도﹑특이도분별위85.19%﹑94.04%，여상규조적26.51%﹑77.99%상비차이유통계학의의(P<0.05)。결론초성실시탄성성상진단갑상선량악성결절준학성고，차기술재림상상가감소대병리검측적의뢰，감경환자통고，무창적감별량악성，가추천。
Objective To study the effect and application value of the real-time ultrasound elastography in differentiating benign and malignant thyroid nodules. Methods 200 patients with thyroid disease (232 nodules) admitted in our hospital were randomly selected. The conventional ultrasound and real-time ultrasound elastography were used to differentiate benign and malignant thy-roid nodules. And the nodules were divided into benign group and malignant group according to the pathological results. The pathological results of the nodules were compared with the detection results of the conventional ultrasound and real-time ultra-sound elastography so as to evaluate the value of real-time ultrasound elastography in the differential diagnosis of benign from ma-lignant thyroid nodules. Results According to the elastic grade, thyroid nodules≤II were benign,≥Ⅲwere malignant. The results showed that the accuracy of real-time ultrasound elastography in differentiating benign from malignant nodules was 90.95%, and that of the conventional ultrasound was 62.93%, the difference between them was statistically significant (P<0.05). The sensitivity and specificity of ultrasound elastography was 85.19%, 94.04%, respectively, and that of conventional ultrasound was 26.51%, 77.99%, respectively, the difference between them was statistically significant (P<0.05). Conclusion Real-time ultrasound elastography has high accuracy in the differential diagnosis of benign and malignant thyroid nodules, which can reduce the patients' dependence on pathological examination, alleviate the suffering of the patients with non-invasive identification, so it can be recommended.
