实时组织弹性成像鉴别诊断甲状腺实性结节的价值
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The differential diagnostic value of real-time tissue elastography imaging in the solid nodules of thyroid
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    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-

    Abstract:

    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.

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巩海燕,林红军,叶新华,栗翠英,吕颖钺,武晓泓.实时组织弹性成像鉴别诊断甲状腺实性结节的价值[J].南京医科大学学报(自然科学版),2012,(8):1131-1135

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  • 收稿日期:2012-02-29
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