实时组织弹性成像鉴别诊断甲状腺实性结节的价值

目的:探讨实时组织弹性成像在甲状腺实性结节中的鉴别诊断价值?方法:对25例(35个结节)甲状腺结节患者术前进行常规超声及实时组织弹性成像检查,结果与术后病理对照分析? 结果:常规超声鉴别诊断甲状腺良恶性结节的灵敏度?特异度?准确度分别为71.43%(10/14)?95.24%(20/21)?85.71%(30/35)?超声弹性成像鉴别诊断甲状腺结节良恶性的灵敏度?特异度?准确度分别为64.28%(9/14)?71.43%(15/21)?68.57%(24/35)?两者结合的灵敏度?特异度?准确度分别为85.71%(12/14)?71.43%(15/21)?77.14%(27/35)?结论:实时组织弹性成像对甲状腺实性结节具有一定的鉴别诊断价值,其与常规超声结合能提高对甲状腺良恶性结节诊断的灵敏度,且方法简便?经济?无创,值得在临床应用推广?

The differential diagnostic value of real-time tissue elastography imaging in the solid nodules of thyroid

Objective:To explore the value of real-time tissue elastography imaging in the diagnosis of solid nodules of thyroid. Methods:The preoperational conventional ultrasound and real-time tissue elastography imaging were carried out in 25 patients (including 35 nodules). The results were compared with pathological results. Results:The sensitivity,specificity,and accuracy of conventional ultrasound in diagnosing the malignant nodules of thyroid were 71.43%(10/14)?95.24%(20/21)?85.71%(30/35),respectively. While the sensitivity,specificity,accuracy of real-time tissue elastography imaging respectively were 64.28%(9/14)?71.43%(15/21)?68.57%(24/35). When both of the two methods were used,the sensitivity,specificity,and accuracy were 85.71%(12/14)?71.43%(15/21)?77.14%(27/35). Conclusion:Real-time tissue elastography imaging is valuable in the differential diagnosis of thyroid nodules. When applied together with conventional ultrasound,it may improve the sensitivity of diagnosing.