摘要
目的探讨彩色多普勒超声联合超声弹性成像对甲状腺良恶性结节的诊断价值。方法310例甲状腺结节患者(395个病灶)纳入研究,患者术前均行常规彩色超声检查,再行超声弹性成像检查。以超声引导下细针穿刺细胞学检查结果作为金标准,探讨两种检查方法单一及联合应用的诊断效能。结果395个病灶中,良性结节316枚,恶性结节79枚。恶性结节的弹性成像评分分布与良性结节弹性成像评分分布差异有统计学意义(Z=12.47,P<0.05)。常规彩色多普勒超声检查联合超声弹性成像的灵敏度、阴性预测值高于单一方法。结论彩色多普勒超声联合超声弹性成像对甲状腺结节良恶性的诊断和鉴别具有较高的应用价值。
Objective To investigate the application value of color Doppler ultrasound combined with ultrasound elastography in differential diagnosis between benign and malignant thyroid nodules.Methods A total of 310 patients with thyroid nodules(395 lesions)were enrolled in the study.All the patients received routine color Doppler ultrasonography and ultrasound elastography.And ultrasound-guided fine needle aspiration(US-FNA)was taken as gold standard to explore the diagnostic efficacy of single method and combined examination methods.Results Among the 395 lesions,there were 316 benign nodules and 79 malignant nodules.There were significant differences in the elastography scores between malignant nodules and benign nodules(P<0.05).The sensitivity and negative predictive value of conventional color Doppler ultrasound combined with ultrasound elastography were higher than those by single method.Conclusion The color Doppler ultrasound combined with ultrasound elastography has higher application value in differential diagnosis between benign and malignant thyroid nodules.
作者
杨丽娟
江波
郝艳敏
穆若菲
YANG Lijuan;JIANG Bo;HAO Yanmin(Ultrasound Department,The Fourth Medical Center, General Hospital of PLA,Beijing 100048,China)
出处
《河北医药》
CAS
2020年第9期1376-1378,1382,共4页
Hebei Medical Journal
关键词
甲状腺
结节
超声
弹性成像
诊断
效能
thyroid
nodules
ultrasound
elastography
diagnosis
efficiency
