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| 超声弹性应变率比值法鉴别诊断桥本氏甲状腺炎背景下结节良恶性的价值 | |
| 引用本文： | 吴凡,高志玲,何峥. 超声弹性应变率比值法鉴别诊断桥本氏甲状腺炎背景下结节良恶性的价值[J]. 临床超声医学杂志, 2019, 21(1): 52-54 |
| 作者姓名： | 吴凡 高志玲 何峥 |
| 作者单位： | 上海中医药大学附属曙光医院超声医学科,上海市,201203;上海中医药大学附属曙光医院超声医学科,上海市,201203;上海中医药大学附属曙光医院超声医学科,上海市,201203 |
| 摘 要： | 目的探讨实时超声弹性应变率比值(SR)法在评价桥本氏甲状腺炎(HT)背景下结节良恶性中的应用价值。方法分析186例(231个病灶)经手术病理证实的HT背景下甲状腺结节的超声弹性图像,计算病灶与同侧甲状腺组织的SR,绘制ROC曲线获得SR诊断恶性结节的截断值,分析其诊断效能。结果 231个HT合并甲状腺结节中,60个恶性结节SR中位数为3.11(1.89,5.08),171个良性结节SR中位数为1.59(1.15,2.17),差异有统计学意义(P<0.001)。以SR为2.73为截断值,其诊断HT背景下恶性结节的敏感性、特异性、准确率、阳性预测值、阴性预测值分别为60.00%、86.55%、79.65%、61.02%,86.05%。结论实时超声弹性SR法可为鉴别HT背景下结节的良恶性提供可靠依据,具有较好的临床应用价值。 |
| 关 键 词： | 超声弹性成像,实时 桥本氏甲状腺炎,良恶性 应变率比值 |
Value of ultrasonic elastography strain rate ratio method in differential diagnosis of benign and malignant thyroid nodules under the background of Hashimoto's thyroiditis |
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| WU Fan,GAO Zhiling,HE Zheng. Value of ultrasonic elastography strain rate ratio method in differential diagnosis of benign and malignant thyroid nodules under the background of Hashimoto's thyroiditis[J]. Journal of Ultrasound in Clinical Medicine, 2019, 21(1): 52-54 | |
| Authors: | WU Fan GAO Zhiling HE Zheng |
| Affiliation: | (Department of Ultrasound,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China) |
| Abstract: | WU Fan;GAO Zhiling;HE Zheng(Department of Ultrasound,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China) |
| Keywords: | Ultrasonic elastography,real-time Hashimoto's thyroiditis,benign and malignant Strain ratio |
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