探讨超声弹性成像对甲状腺良恶性结节鉴别诊断的应用价
值
郑天娇;李春伶;井茹芳;侯海军
【期刊名称】《西北国防医学杂志》 【年(卷),期】2012(033)001
【摘要】Objective; To assess the diagnostic value of ultrasonographic elastography in differentiating benign from malignant thyroid nodules. Methods; Fifty - two patients with 93 thyroid lesions were examined by conventional ultrasound and ultrasound elastography . All cases were identified by surgical pathology . Results ; The pathological observations indicated that there were 64 benign lesions and 29 malignant lesions among 94 thyroid nodules. The elastographic grades of most benign nodules (47) were I - II , while most of malignancy (46) were IV - V. The elastographic grades of benign were significantly different with malignant lesions ( P < 0. 01) . The sensitivity , specificity and accuracy of ultrasonographic elastography in diagnosis of thyroid nodules were 87.1% , 96.7% and 93.5% , respectively. Conclusion; Ultrasonographic elastography is useful in differential diagnosis of benign and malignant thyroid nodules.%目的:研究超声弹性成像在鉴别甲状腺良、恶性结节临床诊断中的应用价值.方法:对术前52例(93个)甲状腺结节进行常规二维、彩色多普勒超声及弹性成像检查,对弹性成像进行分析,并与病理结果进行对照.结果:93个甲状腺结节中,良性结节64个,恶性结节29个.其良性结节中,47个结节评为1~