摘要
目的探讨临床采用常规超声与超声弹性成像诊断甲状腺良恶性结节的临床效果。方法选取获得手术病理证实的51例患者83个甲状腺结节病灶作为研究样本,其中病理诊断为良性病灶56个,恶性病灶27个,并将其与常规超声、超声弹性成像诊断结果进行比较。结果 83个结节病灶的常规超声诊断中良性结节64个,恶性结节19个,主要以结节形态、微钙化、纵横比及阻力指数等为主要鉴别指标;超声弹性成像中良性结节57个,恶性结节26个,主要以弹性成像硬度分级为评估标准。结论在甲状腺良恶性结节的鉴别诊断中超声弹性成像的应用价值显著优于常规超声,对甲状腺结节性质、程度等评估具有良好的指导作用。
Objective To investigate clinical effect of ultrasonic elastography and conventional ultrasound in diagnosis of benign and malignant thyroid nodule. Methods There were 51 diagnosed patients by surgical pathology method as study subjects, with 83 thyroid nodule lesions. Among them, there were 56 benign lesions and 27 malignant lesions by pathological diagnosis. These results were compared with those by conventional ultrasound and ultrasonic elastography. Results Conventional ultrasound diagnosis showed there were 64 benign lesions and 19 malignant lesions in the 83 cases. Main identification indexes included nodule form, microcalcification, aspect ratio, and drag index. Ultrasonic elastography diagnosis showed there were 57 benign lesions and 26 malignant lesions. The main index was elastography hardness grade. Conclusion Ultrasonic elastography provides much better application value in diagnosis of benign and malignant thyroid nodule than conventional ultrasound. It contains important guidance effect for evaluation of quality and severity of thyroid nodule.
出处
《中国实用医药》
2015年第23期18-19,共2页
China Practical Medicine
关键词
甲状腺结节
良恶性
常规超声
超声弹性成像
Thyroid nodule
Benign and malignant
Conventional ultrasound
Ultrasonic elastography
